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1184147084
CHAUNTEL MONIQUE CHISOLM
BRONX, NY
NPI
1184147084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NY 001290)
Enumeration Date
2017-07-23
Last Update Date
2017-07-23
Business Address
CHAUNTEL MONIQUE CHISOLM LMFT
1529 WILLIAMSBRIDGE RD
BRONX, NY 10461-2502
Phone number: 718-794-8464
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Mailing Address
CHAUNTEL MONIQUE CHISOLM LMFT
1519 METROPOLITAN AVE
BRONX, NY 10462-6170
Phone number: 718-664-0478
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