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1760693139
FARLIE PRESTON LAVON CHASTAIN
CHATTANOOGA, TN
NPI
1760693139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN LSW0000004756)
Enumeration Date
2007-05-25
Last Update Date
2007-07-08
Business Address
-- FARLIE PRESTON LAVON CHASTAIN LCSW
6400 LEE HWY SUITE 110
CHATTANOOGA, TN 37422
Phone number: 423-899-5087
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Mailing Address
-- FARLIE PRESTON LAVON CHASTAIN LCSW
4756 MEADOW AVE
CLEVELAND, TN 37312-4120
Phone number: 423-559-8897
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