Provider Information for 1689883290
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CARLA CHAPMAN LCSW
Sex: Female
NPI: 1689883290
Last Updated: 2015-05-26
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1689883290 | ||||||||
| Enumeration Date | 2007-05-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 200 E 2ND AVE GASTONIA, NC 28052-4358 United States Phone: 704-874-1904 | Fax:704-867-2134 | ||||||||
| Primary Practice Address | 1022 SHELTON AVE STATESVILLE, NC 28677-6826 United States Phone: 704-768-2080 | Fax:704-768-2081 | ||||||||
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