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Individual

CHANIELLE TALBIRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1314 PEABODY AVE, MEMPHIS, TN 38104-3500
(901) 907-5036
Mailing address
10441 JUNEAU WAY, COLLIERVILLE, TN 38017-1967
(901) 907-5036

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
258680
AL
174400000X
Specialist
258680
TN
174H00000X
Health Educator
174N00000X
Lactation Consultant (Non-RN)
Primary
258680
AL
261QH0100X
Health Service Clinic/Center

Other

Enumeration date
04/03/2023
Last updated
04/03/2023
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