Individual
MR. DEVON CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
419 S 2ND ST, RENTON, WA 98057-2017
(206) 698-4572
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DRR
N/A
—
Enumeration date
03/23/2022
Last updated
04/25/2022
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