Provider Information for 1437491701
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CHRISTOPHER SHAWN CHILDERS MSC, LPCC-S
Sex: Male
NPI: 1437491701
Last Updated: 2023-01-04
Certification Date: 2023-01-04
Certification Date: 2023-01-04
Details
| Name | Value | ||||||||||||
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| NPI | 1437491701 | ||||||||||||
| Enumeration Date | 2013-03-25 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 147 JAMES WAY MARION, OH 43302-5892 United States Phone: 419-617-8356 | Fax: | ||||||||||||
| Primary Practice Address | 147 JAMES WAY MARION, OH 43302-5892 United States Phone: 419-617-8356 | Fax:740-914-6138 | ||||||||||||
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