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1790099315
CHARLES MICHAEL
ROCK SPRINGS, WY
NPI
1790099315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY PCSW-429)
Enumeration Date
2010-08-06
Last Update Date
2010-08-06
Business Address
-- CHARLES MICHAEL PCSW
2300 FOOTHILL BLVD
ROCK SPRINGS, WY 82901-5610
Phone number: 307-352-6677
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Mailing Address
-- CHARLES MICHAEL PCSW
2300 FOOTHILL BLVD
ROCK SPRINGS, WY 82901-5610
Phone number: 307-352-6677
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