ALLEN KENNETH CHALK

DELAND, FL
NPI1093534836
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL  CAP.0100572)
Enumeration Date2024-10-08
Last Update Date2024-10-08
Business Address
ALLEN KENNETH CHALK MS,CAP
1251 N STONE ST
DELAND, FL 32720-2584
Phone number: 386-623-3361
Mailing Address
ALLEN KENNETH CHALK MS,CAP
36927 SLICE LN
GRAND ISLAND, FL 32735-8449
Phone number: 352-740-5517
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