Individual
MS. CAROLYN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7 W BURNSIDE AVE, BRONX, NY 10453-4003
(212) 243-7070
Mailing address
9018 FARRAGUT RD, BROOKLYN, NY 11236-3217
(646) 584-0387
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112713
NY
Other
Enumeration date
07/28/2021
Last updated
07/29/2021
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