Individual
CHELSEY BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 OLD LIVERPOOL RD STE 204, LIVERPOOL, NY 13088-6238
(315) 453-3911
(315) 453-0197
Mailing address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4528
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
124465
NY
104100000X
Social Worker
72-P125657-01
NY
Other
Enumeration date
10/04/2023
Last updated
08/08/2024
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