Individual
JODY LYNN CHILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
21637 COALEY BAY DR, DETROIT LAKES, MN 56501-6926
(218) 396-9869
Mailing address
21637 COALEY BAY DR, DETROIT LAKES, MN 56501-6926
(218) 396-9869
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
30778
MN
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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