Individual
CHANTEL DELAWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 W OXFORD AVE, ENID, OK 73701-1208
(580) 233-7220
Mailing address
815 APACHE DR, ALVA, OK 73717-1828
(580) 278-4697
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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