Provider Information for 1851669097
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DEBRA ANN CHANDLER LCSW, LPHA
Sex: Female
NPI: 1851669097
Last Updated: 2015-01-23
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1851669097 | ||||||||
| Enumeration Date | 2011-12-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5757 N. SHERIDAN RD. APT. 8A CHICAGO, IL 60660-8704 United States Phone: 773-293-1251 | Fax: | ||||||||
| Primary Practice Address | 5757 N SHERIDAN RD APT. 8A CHICAGO, IL 60660-4746 United States Phone: 773-293-1251 | Fax: | ||||||||
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