Individual
STACEY CHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
Mailing address
740 SIDNEY MARCUS BLVD NE APT 8308, ATLANTA, GA 30324-5603
(678) 614-4672
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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