Individual
FARLIE PRESTON LAVON CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6400 LEE HWY, SUITE 110, CHATTANOOGA, TN 37422
(423) 899-5087
Mailing address
4756 MEADOW AVE, CLEVELAND, TN 37312-4120
(423) 559-8897
(423) 499-2343
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004756
TN
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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