Individual
MR. CHARLES PHILLIP ZACHARY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS LBSW
Contact information
Practice address
43740 N GROESBECK HWY, CLINTON TOWNSHIP, MI 48036-1139
(586) 469-7817
(586) 469-7662
Mailing address
40134 WINSLOW CT, STERLING HEIGHTS, MI 48310-2071
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802065743
MI
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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