Individual
ELLICE BROOK CHASEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SE 16TH AVE APT 6, FORT LAUDERDALE, FL 33301-3912
(954) 894-3862
Mailing address
101 SE 16TH AVE, #6, FORT LAUDERDALE, FL 33301
(954) 894-3862
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8954
FL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/08/2008
Last updated
10/15/2009
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