Provider Information for 1568554467
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Ms. ABBY BETH CHACK LCSW
Sex: Female
NPI: 1568554467
Last Updated: 2017-05-19
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1568554467 | ||||||||
| Enumeration Date | 2006-09-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 156 W 2ND ST FL 2 OSWEGO, NY 13126-2502 United States Phone: 516-594-6652 | Fax: | ||||||||
| Primary Practice Address | 156 W 2ND ST FL 2 OSWEGO, NY 13126-2502 United States Phone: 516-594-6652 | Fax: | ||||||||
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