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Individual
MRS. CHANTEL MELANIE UPSON LOCKWOOD
Active
Individual
MRS. CHANTEL MELANIE UPSON LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
090413-1
NY
1041C0700X
Clinical Social Worker
Primary
087537
NY
Other
Enumeration date
01/02/2018
Last updated
11/08/2019
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