Individual
MR. CHARLES EDWARD WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
9249 W LAKE CITY RD, HOUGHTON LAKE, MI 48629-9602
(989) 422-2115
Mailing address
128 OAK MARR DR, HOUGHTON LAKE, MI 48629-9006
(989) 366-9245
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801001356
MI
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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