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Blue G Chevigny

Social Worker, Clinical in New York, NY. Individual provider (NPI-1).

NPI number1790916005
StatusActive
Last updated in NPPESNov 30, 2012

Details

NPI
1790916005
Entity type
Individual (NPI-1)
Name
Ms. Blue G Chevigny
Sex
Female
Sole proprietor
No
Enumeration date
Aug 4, 2009
Last updated
Nov 30, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical73-080118NYYes

Practice location

41 E 11th St
5th Floor
New York, NY 10003-4602

Phone 212-645-0875

Mailing address

41 E 11th St
5th Floor
New York, NY 10003-4602

Phone 212-645-0875

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