Individual
MR. CHARLES WILLIAM MARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Contact information
Practice address
353 HEMPSTEAD AVE, MALVERNE, NY 11565-1233
(516) 599-6420
Mailing address
59 MALVERNE AVE, MALVERNE, NY 11565-1443
(516) 599-4570
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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