CHANTA BLUE

MONTCLAIR, NJ
NPI1508239898
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SC05703400)
Additional Taxonomies1041S0200X Social Worker, School
(Licence: NJ  587336)
Enumeration Date2015-11-09
Last Update Date2016-09-11
Business Address
-- CHANTA BLUE LCSW
1 UPPER MOUNTAIN AVE
MONTCLAIR, NJ 07042-1871
Phone number: 201-463-5084
Mailing Address
-- CHANTA BLUE LCSW
1 UPPER MOUNTAIN AVE
MONTCLAIR, NJ 07042-1871
Phone number: 201-463-5084