Individual
CHASIDY CHAMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19230 EVANS ST NW STE 203, ELK RIVER, MN 55330-1574
(612) 248-1455
Mailing address
19230 EVANS ST NW STE 203, ELK RIVER, MN 55330-1574
(612) 248-1455
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
304131
MN
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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