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Individual

CHANTAE BLOUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4949 VELASKO RD, SYRACUSE, NY 13215-1930
(800) 245-7277
Mailing address
150 WALRATH RD, SYRACUSE, NY 13205-1825

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
102432
NY
104100000X
Social Worker
Primary
109469
NY

Other

Enumeration date
06/17/2020
Last updated
03/31/2026
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