Individual
MRS. CHARIS LEASE-TREVATHAN CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 MARTIN LN, HAMILTON, NJ 08619-1136
(912) 704-7741
Mailing address
31 MARTIN LN, HAMILTON, NJ 08619-1136
(912) 704-7741
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW005220
GA
1041C0700X
Clinical Social Worker
Primary
44SC05822000
NJ
Other
Enumeration date
09/10/2013
Last updated
09/21/2021
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