Individual
KATRINA CHADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 JEFFERSON AVE, WACO, TX 76701-1212
(254) 297-7000
Mailing address
PO BOX 890, WACO, TX 76703-0890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
75871
TX
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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