Individual
MR. CHARLES OWEN BARTLETT IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LICSW
Contact information
Practice address
16000 BOTHELL EVERETT HWY, 360, MILL CREEK, WA 98012-1742
(425) 357-9111
Mailing address
2530 NE 203RD ST, SHORELINE, WA 98155-1422
(206) 300-3889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
603077273
WA
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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