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1750921367
STEPHAN IAN BELASCO
CHATTANOOGA, TN
NPI
1750921367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN 8047)
Enumeration Date
2020-01-11
Last Update Date
2024-05-23
Business Address
STEPHAN IAN BELASCO
1360 MACKEY BRANCH DR.
CHATTANOOGA, TN 37421
Phone number: 423-322-2748
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Mailing Address
STEPHAN IAN BELASCO
1360 MACKEY BRANCH DR
CHATTANOOGA, TN 37421-3225
Phone number: 423-443-3336
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