Individual
CHERISSE STATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12200 MOORES LAKE RD APT 2428, CHESTER, VA 23831-2460
(773) 669-6822
Mailing address
12200 MOORES LAKE RD APT 2428, CHESTER, VA 23831-2460
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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