TERRY R. CHASTAIN

LILBURN, GA
NPI1508004342
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: GA  LPC004464)
Enumeration Date2009-02-02
Last Update Date2009-02-02
Business Address
TERRY R. CHASTAIN L.P.C.
5294 LAWRENCEVILLE HWY B-5
LILBURN, GA 30047
Phone number: 770-931-3588
Mailing Address
TERRY R. CHASTAIN L.P.C.
5203 CHARLEMAGNE WAY
LILBURN, GA 30047
Phone number: 770-381-1402
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