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Individual

EMILY CHAVIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3840 5TH AVE N, ST PETERSBURG, FL 33713-7521
(727) 367-2273
Mailing address
3840 5TH AVE N, ST PETERSBURG, FL 33713-7521
(727) 367-2273

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 2759
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009965000
FL
Enumeration date
11/02/2013
Last updated
03/29/2019
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