CHARLETON M CHARLESTON

SHIPROCK, NM
NPI1205176831
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  C-09983)
Enumeration Date2013-02-19
Last Update Date2021-05-17
Business Address
CHARLETON M CHARLESTON LCSW
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6001
Mailing Address
CHARLETON M CHARLESTON LCSW
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6001