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1922465566
CHANTE STALLWORTH
SANTA MARIA, CA
NPI
1922465566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-01-27
Last Update Date
2018-10-18
Business Address
CHANTE STALLWORTH
115 E FESLER ST
SANTA MARIA, CA 93454-4404
Phone number: 805-922-6597
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Mailing Address
CHANTE STALLWORTH
245 INGER DR STE 103B
SANTA MARIA, CA 93454-8669
Phone number:
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