Individual
CAROL BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWR
Contact information
Practice address
92 EAST LAKE AVE, MASSAPEQUA PARK, NY 11762-2502
(516) 799-5031
(516) 799-8303
Mailing address
92 EAST LAKE AVE, MASSAPEQUA PARK, NY 11762-2502
(516) 799-5031
(516) 799-8303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R040861-1
NY
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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