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Individual
MR. CHARLES BRIGHAM
Active
Individual
MR. CHARLES BRIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10056
CA
1041C0700X
Clinical Social Worker
20604
MN
Other
Enumeration date
06/26/2007
Last updated
12/04/2012
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