Individual
MR. LARRY S CHARLES JR.
Active
Individual
MR. LARRY S CHARLES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
376K00000X
Nurse's Aide
Primary
NA200011057
NJ
Other
Enumeration date
05/04/2014
Last updated
05/04/2014
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