Individual
DR. STACY MAE CHILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
811 11TH AVE, LONGVIEW, WA 98632-2462
(360) 423-3482
Mailing address
811 11TH AVE, LONGVIEW, WA 98632-2462
(360) 423-3482
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60106639
WA
Other
Enumeration date
12/29/2009
Last updated
11/26/2014
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