CHARLES BRIAN WALTON

FAYETTEVILLE, NY
NPI1407946791
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  PRO11729-1)
Enumeration Date2006-10-15
Last Update Date2021-12-23
Business Address
CHARLES BRIAN WALTON LCSW
6834 E GENESEE ST STE C
FAYETTEVILLE, NY 13066-1021
Phone number: 315-447-3798
Mailing Address
CHARLES BRIAN WALTON LCSW
116 KIMRY MOOR
FAYETTEVILLE, NY 13066-1854
Phone number: 315-423-3810
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