| NPI | 1144797440 |
|---|---|
| Doing Business As | CHARLES F SMALL LCSW |
| Entity Type | Organization |
| Authorized Contact | CHARLES F SMALL Licensed Clinical Social Worker 773-307-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |