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Individual

CHARLOTTE CONNARD CHANDLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCSLP

Contact information

Practice address
15316 HUEBNER RD, SUITE 202, SAN ANTONIO, TX 78248-0987
(210) 614-4567
(210) 614-4999
Mailing address
212 COUNTRY MDW, BOERNE, TX 78006-5887
(830) 336-2000

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19654
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8T3389
BCBS PROVIDER
TX
Enumeration date
04/10/2007
Last updated
07/08/2007
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