Individual
CHANTELLE CHIRATIDZO ESTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1317 LAWNRIDGE AVE, SPRINGFIELD, OR 97477-2473
(541) 852-0342
Mailing address
1317 LAWNRIDGE AVE, SPRINGFIELD, OR 97477-2473
(541) 852-0342
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11541
OR
Other
Enumeration date
01/23/2024
Last updated
04/22/2024
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