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MRS. SUSAN ELAINE CHESNUT LSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1891216198

Individual Registrant:
MRS. SUSAN ELAINE CHESNUT LSW
Gender: F
Sole Proprietor

Location and contact information for practice:
304 SOUTH MARKET STREET  DANVILLE, OH 43014 US
Tel: 866-358-4463  Fax: --

Contact information for business:
609 MARTINSBURG RD  MOUNT VERNON, OH 43050-4617 US
Tel: --  Fax: --

Registration Information:
NPI: 1891216198
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
OHS0031367

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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