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Individual

MISS CHAUNIECE DESHAE WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
586 POPLAR AVE, MEMPHIS, TN 38104
(901) 279-9234
Mailing address
586 POPLAR AVE, MEMPHIS, TN 38104
(901) 279-9234

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
TN
171M00000X
Case Manager/Care Coordinator
Primary
TN

Other

Enumeration date
07/07/2026
Last updated
07/07/2026
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