Marie Hazel Chisom
NPI #1275834558 in Lemon Grove, California
Provider Information
- NPI Number
- 1275834558
- Entity Type
- Individual
- Name
- Marie Hazel Chisom
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Nov 3, 2010
- Last Updated
- Nov 3, 2010
Practice Location
- Address
- 3434 GROVE ST
- City
- Lemon Grove
- State
- California
- ZIP Code
- 91945-1812
- Phone
- (619) 797-1090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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