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Individual

MRS. KARAH CHANDLER CHAMBLISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
904 MEADOW LN, FORT WALTON BEACH, FL 32547-1038
(334) 221-1178
Mailing address
904 MEADOW LN, FORT WALTON BEACH, FL 32547-1038
(334) 221-1178

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/03/2010
Last updated
08/03/2010
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