Provider Information for 1871042739
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COURTNEY JOANNA CHANDLER LPC
Sex: Female
NPI: 1871042739
Last Updated: 2020-03-04
Certification Date: 2020-03-04
Certification Date: 2020-03-04
Details
| Name | Value | ||||||||||||
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| NPI | 1871042739 | ||||||||||||
| Enumeration Date | 2016-10-03 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 200 N LEWIS ST LAGRANGE, GA 30240-2738 United States Phone: 706-887-5787 | Fax:706-780-5402 | ||||||||||||
| Primary Practice Address | 200 N LEWIS ST LAGRANGE, GA 30240-2738 United States Phone: 706-887-5787 | Fax:706-780-5402 | ||||||||||||
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