Individual
CHANTEL HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11294
CT
1041C0700X
Clinical Social Worker
4294
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85-3334757
—
CT
Enumeration date
09/16/2020
Last updated
06/02/2021
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