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Individual

MR. CHRISTIAN CHABRAND HEATON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LISW

Contact information

Practice address
2400 HOSPITAL RD, BLDG 3 RM 102, TUSKEGEE, AL 36083-5001
(334) 727-0550
(334) 725-2776
Mailing address
2400 HOSPITAL RD, BLDG 3 RM 102, TUSKEGEE, AL 36083-5001
(334) 727-0550
(334) 725-2776

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
S.2004937
OH
1041C0700X
Clinical Social Worker
Primary
I.2304197
OH

Other

Enumeration date
08/21/2018
Last updated
01/12/2023
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