Provider Information for 1952903593
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CHELSEA JULIAN LPC-IT
Sex: Female
NPI: 1952903593
Last Updated: 2023-05-26
Certification Date: 2023-05-26
Certification Date: 2023-05-26
Details
Name | Value | ||||||||||||||||
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NPI | 1952903593 | ||||||||||||||||
Enumeration Date | 2020-11-09 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 1710 LAWRENCE DRIVE 200 DE PERE, WI 54115-4710 United States Phone: 920-245-3484 | Fax: | ||||||||||||||||
Primary Practice Address | 1710 LAWRENCE DRIVE 200 DE PERE, WI 54115-4710 United States Phone: 920-245-3484 | Fax: | ||||||||||||||||
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