CHARLES DOUGLAS STAFFORD

NEWPORT BEACH, CA
NPI1962016832
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  96730)
Enumeration Date2020-09-08
Last Update Date2020-10-15
Business Address
CHARLES DOUGLAS STAFFORD LCSW
1300 N BRISTOL ST STE 100
NEWPORT BEACH, CA 92660-2989
Phone number: 714-861-9044
Mailing Address
CHARLES DOUGLAS STAFFORD LCSW
10085 CORRAL RIVER CT
FOUNTAIN VALLEY, CA 92708-6812
Phone number: 714-861-9044
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