Individual
JONATHAN CHAMBLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MSW
Contact information
Practice address
5645 E RAYMOND ST, INDIANAPOLIS, IN 46203-4967
(317) 505-1230
Mailing address
558 IRONRIDGE CT, INDIANAPOLIS, IN 46239-8890
(317) 473-0487
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
99111738A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/21/2018
Last updated
10/03/2022
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