Kevin Michael Charles LCSW

NPI 1174616908 - Social Worker - 1041C0700X

NPI Details
NPI 1174616908
Gender Male
Enumeration Date 10/02/2006
Last Updated 10/18/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2500 FAIRMONT DR
SAN LEANDRO CA, 94578-1005, US
Phone (510) 667-7650
Fax
Business Location
2500 FAIRMONT DR
SAN LEANDRO CA, 94578-1005, US
Phone (510) 667-7650
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCSW 19231
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According to our database, Mr. Kevin Michael Charles LCSW NPI is 1174616908, taxonomy code is 1041C0700X and license number is LCSW 19231, license state is located at California. Kevin Michael Charles LCSW physically located at 2500 Fairmont Dr, San Leandro CA, 94578-1005. NPI Number Kevin Michael Charles LCSW has the Individual type.

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1174616908 NPI number is provided on an as is basis without warranty of any kind. 1174616908 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Michael Charles LCSW are for informational purposes only.