Individual
DANIEL CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 SOUTH AVE E, CRANFORD, NJ 07016-3246
(908) 497-3948
Mailing address
505 SOUTH AVE E, CRANFORD, NJ 07016-3246
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05230100
NJ
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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