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Individual

KIM ANN CHATHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1172 W MAIN ST, #B, STROUDSBURG, PA 18360-1329
(570) 424-6187
(570) 424-6271
Mailing address
502 OVERLOOK TER, STROUDSBURG, PA 18360-9289
(570) 730-4578

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016989
PA

Other

Enumeration date
10/04/2011
Last updated
10/04/2011
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