Individual
MRS. CHARLOTTE MICHELLE MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 743-0876
Mailing address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 743-0876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09618
TX
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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