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Individual
KELLY LOUISE CHARLES
Active
Individual
KELLY LOUISE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CSOTS
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C008679
NC
1041C0700X
Clinical Social Worker
Primary
LCSW117886
CA
Other
Enumeration date
02/01/2013
Last updated
05/18/2025
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