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Individual
LISA A CHARLES
Active
Individual
LISA A CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED.
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451023963
MI
103T00000X
Psychologist
PPS-0601360
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/02/2009
Last updated
03/02/2026
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