Individual
CHANTAL SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7210
(931) 920-7202
Mailing address
511 8TH ST, CLARKSVILLE, TN 37040-3093
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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