Individual
STACEY CHMIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD
Contact information
Practice address
211 COUNTY ROAD 1280, MORGAN, TX 76671-3066
(217) 246-1000
Mailing address
211 COUNTY ROAD 1280, MORGAN, TX 76671-3066
(217) 246-1000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1062475
TX
133V00000X
Registered Dietitian
DT83221
TX
Other
Enumeration date
10/09/2015
Last updated
08/06/2019
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