Individual
DR. NANCY D CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD., LCSW
Contact information
Practice address
2801 BUFORD HWY NE, SUITE T-65, BROOKHAVEN, GA 30329-2149
(404) 735-7291
Mailing address
2801 BUFORD HWY NE, SUITE T-65, BROOKHAVEN, GA 30329-2149
(404) 735-7291
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004704
GA
Other
Enumeration date
08/06/2012
Last updated
10/27/2016
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