Individual
CHARLES ROLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-3586
Mailing address
PO BOX 23831, NEWARK, NJ 07189-0001
(973) 971-7184
(973) 290-8349
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC01454500
NJ
Other
Enumeration date
02/10/2006
Last updated
09/11/2007
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