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Individual

CHANDA L HERRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
500 MARKET ST STE 101, FULTON, MO 65251-2808
(573) 591-1514
(573) 642-0087
Mailing address
500 MARKET ST STE 101, FULTON, MO 65251-2808
(573) 591-1514
(573) 642-0087

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2013032185
MO

Other

Enumeration date
09/06/2013
Last updated
04/03/2026
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