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NPI Code Detail

MEDICARE: JOHELLY CHALAS

MEDICARE: JOHELLY CHALAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1568893022
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHELLY CHALAS
Provider Business Mailing Address
First Line : 24 STEINER ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01841-1514
Country : US
Telephone Number : 978-390-0132
Fax Number :
Provider Business Practice Location Address
First Line : 24 STEINER ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01841-1514
Country : US
Telephone Number : 978-390-0132
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2013
Last Update Date : 12/10/2013

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Directions to “ JOHELLY CHALAS ” Practice Location

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