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Individual

ALICE G CHASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
1854 OAK GROVE BLVD, LUTZ, FL 33559-8605
(813) 347-2735
(813) 948-3460
Mailing address
30689 PARROT REEF CT, WESLEY CHAPEL, FL 33545-5178
(802) 578-0096
(813) 436-5378

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15837
FL

Other

Enumeration date
03/26/2018
Last updated
03/24/2021
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