Individual
CHARLES I CRAIGMILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2100 E GENESEE ST, SYRACUSE, NY 13210-2249
(315) 695-6900
Mailing address
119 COUNTY ROUTE 6, PHOENIX, NY 13135-2119
(315) 695-6900
(315) 695-6900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R039542-1
NY
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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