Individual
MR. CHARLES MARK PREUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
421 LITHIA PINECREST RD, BRANDON, FL 33511-6138
(813) 401-6148
Mailing address
421 LITHIA PINECREST RD, BRANDON, FL 33511-6138
(813) 401-6148
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 9012
FL
Other
Enumeration date
12/23/2005
Last updated
10/11/2018
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