Individual
MRS. SANDRA ELLEN CHAUHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8708 WOODSTREAM DR, FORT WAYNE, IN 46804-6564
(260) 436-0974
Mailing address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
(260) 421-1091
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34004935A
IN
Other
Enumeration date
03/01/2008
Last updated
03/22/2013
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