Individual
CHARLOTTE MAY MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
851 PARK AVE, OAK HARBOR, WA 98277
(208) 404-3247
Mailing address
851 PARK AVE, OAK HARBOR, WA 98277-8256
(208) 404-3247
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
31397
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH0212
—
AK
Enumeration date
10/17/2011
Last updated
08/21/2018
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