Individual
MR. CHANDLER DAVIN FORNIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
3322 BROADWAY, EVERETT, WA 98201-4425
(425) 349-6801
Mailing address
21218 48TH AVE W APT D, MOUNTLAKE TERRACE, WA 98043-6408
(425) 349-6827
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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