Most Relevant Information
Provider Data
| NPI Number: | 1003249277 |
| Provider Name: | ELIZABETH R CHALFANT LISW-S, LICDC |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | I.1800951-SUPV |
Most Important Dates
| Enumeration Date: | 08/12/2013 |
| Last Updated: | 08/19/2020 |
Provider Practice Location
14 SANDALWOOD DR
NEWARK
OH
430559233
Practice Location Phone/Fax
| Phone: | 7403497511 |
| Fax: | 7405224263 |
Provider Mailing Location
14 SANDALWOOD DR
NEWARK
OH
430559233
Provider Mailing Phone/Fax
| Phone: | 7407888850 |
| Fax: | 7407888851 |