MEDICARE: CHANDLER PAIGE DUNHAM LCSW

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
1	1041C0700X	Clinical Social Worker	CSW009038	GA

General Provider Information

NPI Number	:	1952143281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANDLER PAIGE DUNHAM LCSW

Provider Business Mailing Address
First Line	:	18 LENOX POINTE NE STE B
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-7402
Country	:	US
Telephone Number	:	713-502-4080
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 LENOX POINTE NE STE B
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-7402
Country	:	US
Telephone Number	:	713-502-4080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2024
Last Update Date	:	06/07/2024

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