CHARLES SHORT

MARLTON, NJ
NPI1437569589
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-04-29
Last Update Date2014-04-29
Business Address
-- CHARLES SHORT
2003 LINCOLN DR W STE C
MARLTON, NJ 08053-1529
Phone number: 856-596-8007
Mailing Address
-- CHARLES SHORT
125 ESTATES RD
PINE HILL, NJ 08021-6512
Phone number: 856-669-8138
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