Individual
CHELSEA A BANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
418 WASHINGTON ST, WATERTOWN, NY 13601-3736
(315) 788-8520
Mailing address
418 WASHINGTON ST, WATERTOWN, NY 13601-3736
(315) 755-1459
(315) 782-2482
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
088716
NY
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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