Organization
CHARLIE CHARLTON, LICSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
URSULA CHARLIE CHARLTON LICSW (OWNER AND PROVIDER)
(207) 975-2349
Entity
Organization
Contact information
Practice address
18 LOVERS LN, CUSHING, ME 04563-3255
(207) 975-2349
(207) 975-2349
Mailing address
18 LOVERS LN, CUSHING, ME 04563-3255
(207) 975-2349
(207) 975-2349
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
09/15/2024
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