Provider Information for 1518632843
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Ms. DESHALA CHANCHEZ HUNT B.S., MSW, LCSW
Other Names:Former Name:DESHALA CHANCHEZ JACKSON B.S., MSW, LCSWSex: Female
NPI: 1518632843
Last Updated: 2023-10-13
Certification Date: 2023-10-13
Certification Date: 2023-10-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1518632843 | ||||||||
| Enumeration Date | 2021-08-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1208 OAKCREST GREEN CT MORRISVILLE, NC 27560-6924 United States Phone: 251-387-8510 | Fax:919-650-1259 | ||||||||
| Primary Practice Address | 1208 OAKCREST GREEN CT MORRISVILLE, NC 27560-6924 United States Phone: 251-387-8510 | Fax:919-650-1259 | ||||||||
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