Individual
MS. SHANTAVIA MICHELLE CHAPPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., B.A., LMSW
Contact information
Practice address
458 GRAND AVE STE 103, NEW HAVEN, CT 06513-3873
(203) 752-1212
Mailing address
458 GRAND AVE STE 103, NEW HAVEN, CT 06513-3873
(203) 752-1212
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9031
CT
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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