Individual
CHARLES KVERAGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 773-4520
Mailing address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 773-4520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
73078379
NY
Other
Enumeration date
03/17/2010
Last updated
02/11/2011
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