Individual
MARSHALE CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 SINCLAIR LN, GLOSTER, LA 71030-3028
(318) 872-0262
Mailing address
126 SINCLAIR LN, GLOSTER, LA 71030-3028
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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