Formekia Shantel Chinn
Formekia Shantel Chinn is a Social Worker in San Jose, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
160 E Virginia St Ste 100San Jose, CA 95112-5865
Phone: (408) 938-2113
Fax: (408) 579-6143
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 107302 (CA) |
|---|
Record details
| NPI number | 1487421798 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 6, 2023 |
| Last updated in NPPES | December 12, 2023 |
| Certification date | December 9, 2023 |
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