| NPI Details | |
|---|---|
| NPI | 1023118445 |
| Gender | Male |
| Enumeration Date | 09/25/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 3900 WOODLAND AVENUE PHILADELPHIA PA, 19104, US |
|
| Phone | (215) 823-4621 |
| Fax | (215) 823-4453 |
| Business Location | |
|---|---|
| 105 YALE SQ MORTON PA, 19070-1925, US |
|
| Phone | (610) 544-4436 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 174400000X |
| License State | Maryland |
| License Number | G04089 |
| Remove 1023118445 NPI Number | |
According to our database, Chas Strayline LMSW NPI is 1023118445, taxonomy code is 174400000X and license number is G04089, license state is located at Maryland. Chas Strayline LMSW physically located at 3900 Woodland Avenue, Philadelphia PA, 19104. NPI Number Chas Strayline LMSW has the Individual type.
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1023118445 NPI number is provided on an as is basis without warranty of any kind. 1023118445 is maintained by the National Plan & Provider Enumeration System. The contents of Chas Strayline LMSW are for informational purposes only.
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