Provider Information for 1417381625
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CHELSIE MORGAN MACCARONE LMHC
Sex: Female
NPI: 1417381625
Last Updated: 2020-08-31
Certification Date: 2020-08-31
Certification Date: 2020-08-31
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1417381625 | ||||||||
| Enumeration Date | 2013-08-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4740 N STATE ROAD 7 201 LAUDERDALE LAKES, FL 33319-5839 United States Phone: 954-486-4005 | Fax:954-497-3857 | ||||||||
| Primary Practice Address | 4700 N STATE ROAD 7 LAUDERDALE LAKES, FL 33319-5800 United States Phone: 954-735-4530 | Fax:954-497-3857 | ||||||||
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