Individual
SAMANTHA CHACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W BROADWAY STE 2F, COLUMBIA, MO 65203-3842
(573) 214-0436
(573) 442-0606
Mailing address
201 W BROADWAY STE 2F, COLUMBIA, MO 65203-3842
(573) 214-0436
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2021011989
MO
Other
Enumeration date
09/23/2021
Last updated
11/08/2021
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