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Individual

CHELSIE MICHELLE BLASKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1100 E MAIN ST, ENDICOTT, NY 13760-5254
(607) 765-9811
Mailing address
1100 E MAIN ST, ENDICOTT, NY 13760-5254

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
117263
NY

Other

Enumeration date
10/14/2022
Last updated
10/14/2022
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