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1609904614
CHARLES OLEN JUSTICE
MONROE, MI
NPI
1609904614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801086646)
Enumeration Date
2007-03-01
Last Update Date
2010-11-19
Business Address
-- CHARLES OLEN JUSTICE MSW
2092 S CUSTER RD
MONROE, MI 48161-1831
Phone number: 734-242-8711
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Mailing Address
-- CHARLES OLEN JUSTICE MSW
7550 LUCERNE DR SUITE 405
MIDDLEBURG HEIGHTS, OH 44130-6588
Phone number: 440-234-8833
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