Provider Information for 1942472733
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DEANNA L CHASE PCCs, LICDC, CRC
Sex: Female
NPI: 1942472733
Last Updated: 2023-02-09
Certification Date: 2023-02-09
Certification Date: 2023-02-09
Details
| Name | Value | ||||||||||||
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| NPI | 1942472733 | ||||||||||||
| Enumeration Date | 2008-04-01 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 333 W WOOSTER ST BOWLING GREEN, OH 43402-2807 United States Phone: 419-352-5387 | Fax:419-725-0716 | ||||||||||||
| Primary Practice Address | 333 W WOOSTER ST BOWLING GREEN, OH 43402-2807 United States Phone: 419-779-0657 | Fax:419-725-0716 | ||||||||||||
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