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Individual

EMILY JEAN-PEDEN CHASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLC, ATR-P

Contact information

Practice address
FAIRSKY, 23231 WOODWARD AVE, FERNDALE, MI 48220-1361
(734) 709-6213
Mailing address
2704 HAMPSHIRE RD, ANN ARBOR, MI 48104-6540
(734) 709-6213

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023620
MI

Other

Enumeration date
07/17/2024
Last updated
07/17/2024
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