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1013341270
CHELSEA SHOTWELL TABKE
JAMAICA PLAIN, MA
NPI
1013341270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CO PSY.0005689)
Enumeration Date
2013-08-23
Last Update Date
2022-04-06
Business Address
CHELSEA SHOTWELL TABKE PHD
150 S HUNTINGTON AVE
JAMAICA PLAIN, MA 02130-4817
Phone number: 617-232-9500
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Mailing Address
CHELSEA SHOTWELL TABKE PHD
150 S HUNTINGTON AVE
JAMAICA PLAIN, MA 02130-4817
Phone number: 857-364-6938
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