Individual
CYNTHIA M CHAVANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6235
(800) 558-0187
Mailing address
PO BOX 1574, PORT RICHEY, FL 34673-1574
(352) 942-1860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04638500
NJ
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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