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Individual

MR. CHARLES W SCHRAUB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
19206 HUEBNER RD, SUITE 104, SAN ANTONIO, TX 78258-3146
(210) 499-1020
(210) 499-4956
Mailing address
26805 FOGGY MEADOWS ST, SAN ANTONIO, TX 78260-2218
(830) 980-2649
(830) 980-2559

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16828
TX
106H00000X
Marriage & Family Therapist
3298
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060848
VALUE OPTIONS
TX
01
190131000
MAGELLAN
TX
01
742675485004
TRICARE SOUTH REGION
TX
Enumeration date
11/01/2006
Last updated
09/21/2010
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