Individual
CASEY REINHOLD CHANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10 COLVIN AVE STE 102, ALBANY, NY 12206-1242
(850) 766-8955
Mailing address
454 MYERS RD, HOWES CAVE, NY 12092-2204
(850) 766-8955
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
117760
NY
1041C0700X
Clinical Social Worker
117760
NY
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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