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Individual

STEPHANIE RENE HARE-CHINN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
6100 MILLER AVE, GARY, IN 46403-2469
(219) 427-0196
Mailing address
6501 E 3RD PL, GARY, IN 46403-2422
(219) 588-7872

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
29001820A
IN

Other

Enumeration date
07/11/2019
Last updated
07/11/2019
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