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1184057010
CHARLES WESLEY UNDERWOOD
MILFORD, OH
NPI
1184057010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I.0010222-SUPV)
Enumeration Date
2013-08-14
Last Update Date
2013-08-14
Business Address
Mr. CHARLES WESLEY UNDERWOOD LISW-S
6034 DELFAIR LN
MILFORD, OH 45150-2587
Phone number: 513-254-4252
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Mailing Address
Mr. CHARLES WESLEY UNDERWOOD LISW-S
6043 DELFAIR LANE
MILFORD, OH 45150
Phone number: 513-254-4252
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