Individual
AMBER CHASTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6712 WASHINGTON AVE, EGG HARBOR TOWNSHIP, NJ 08234-1999
(609) 889-8100
Mailing address
3345 CARNATION CT, KING GEORGE, VA 22485-6169
(757) 812-1718
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW-GTL-20-01131
NJ
1041C0700X
Clinical Social Worker
0904017456
VA
1041C0700X
Clinical Social Worker
Primary
44SC06296800
NJ
Other
Enumeration date
01/03/2022
Last updated
10/28/2024
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