Individual
MR. CHARLES WESLEY UNDERWOOD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW-S
Contact information
Practice address
6034 DELFAIR LN, MILFORD, OH 45150-2587
(513) 254-4252
Mailing address
6043 DELFAIR LANE, MILFORD, OH 45150
(513) 254-4252
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0010222-SUPV
OH
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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