Individual
MR. CORY DAVID CHARGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
69 CHESTER PL APT 4A, ENGLEWOOD, NJ 07631-3637
(203) 300-2705
(888) 315-1209
Mailing address
69 CHESTER PL APT 4A, ENGLEWOOD, NJ 07631-3637
(203) 300-2705
(888) 315-1209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05548500
NJ
Other
Enumeration date
11/02/2010
Last updated
04/17/2024
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