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Individual

MR. ANDREW T CHESTNUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW-R

Contact information

Practice address
2310 NOTT STREET EAST, SUITE 3, NISKAYUNA, NY 12309
(518) 374-6263
(518) 289-5225
Mailing address
5 HEMPHILL PLACE, SUITE 121, MATTA, NY 12020-4423
(518) 289-5072
(518) 289-5225

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
073912
NY
1041C0700X
Clinical Social Worker
Primary
R078455-01
NY

Other

Enumeration date
09/22/2006
Last updated
09/01/2023
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