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Individual

MS. ROBYNN LATISE CHAVEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905-2102
(762) 408-0455
Mailing address
6600 VAN AALST BLVD BLDG 9250, FORT BENNING, GA 31905-2102
(762) 408-4076

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004692
GA

Other

Enumeration date
02/13/2023
Last updated
02/27/2026
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