Individual
MR. CHARLES NIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
356 LODER ST, SOUTH WAVERLY, PA 18840-2611
(570) 882-7414
(570) 888-1204
Mailing address
356 LODER ST, SOUTH WAVERLY, PA 18840-2611
(570) 882-7414
(570) 888-1204
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW127085
PA
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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