Individual
CHANAE ALESE EARLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1884 NW 52ND ST, MIAMI, FL 33142-3731
(404) 210-7930
Mailing address
1884 NW 52ND ST, MIAMI, FL 33142-3731
(404) 210-7930
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
058304401
GA
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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