Individual
CHANYA MARISOL EARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1639 FORUM PLACE, SUITE 7, WEST PALM BEACH, FL 33401
(561) 712-8821
Mailing address
1639 FORUM PL STE 7, WEST PALM BEACH, FL 33401-2330
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
E640113998050
FL
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
06/22/2021
Last updated
03/06/2026
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