Individual
JENNIFER ELIZABETH CHAILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2152 S VINEYARD BLDG 2 STE 106, MESA, AZ 85210
(480) 467-2471
(480) 467-2472
Mailing address
2152 S VINEYARD BLDG 2, MESA, AZ 85210-6871
(480) 467-2471
(480) 467-2472
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12849
AZ
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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