Provider Information for 1508529058
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Mrs. REBECCA FAYE CHESTER LCSW
Sex: Female
NPI: 1508529058
Last Updated: 2021-10-20
Certification Date: 2021-10-20
Certification Date: 2021-10-20
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1508529058 | ||||||||
| Enumeration Date | 2021-10-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 164 THREECHOP DR NW MARIETTA, GA 30064-5143 United States Phone: 770-856-1200 | Fax: | ||||||||
| Primary Practice Address | 1605 MULKEY RD # 220 AUSTELL, GA 30106-1127 United States Phone: 470-956-3760 | Fax: | ||||||||
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