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NPI Profile for LAURA CHUSTEK in CLARKSVILLE, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
101YS0200X |
| NPI # | 1134405095 |
|
| Status | Active | |
| Credentials | M.S., ED.S. | |
| Entity | Individual | |
| Enumeration date | 10/24/2011 | |
| Last updated | 10/24/2011 - About 15 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LAURA CHUSTEK
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LAURA CHUSTEK, M.S., ED.S.