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1922207794
CHARLES S HERNDON
KENT, WA
NPI
1922207794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW00005530)
Enumeration Date
2007-07-12
Last Update Date
2007-07-12
Business Address
-- CHARLES S HERNDON LSW
325 W GOWE ST
KENT, WA 98032-5892
Phone number: 253-520-9350
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Mailing Address
-- CHARLES S HERNDON LSW
2704 I ST NE
AUBURN, WA 98002-2411
Phone number: 253-833-7444
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