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Individual
CHARLENE BURLEW
Active
Individual
CHARLENE BURLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LISW, LCDC3,
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
131178
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
1336
KY
1041C0700X
Clinical Social Worker
Primary
3954
KY
1041C0700X
Clinical Social Worker
I.1440416
OH
Other
Enumeration date
12/03/2014
Last updated
12/04/2014
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