Individual
CHARLES NATHAN SAUCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
259 PARKERS MILL RD, SOMERSET, KY 42501-3152
(606) 679-4782
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
(606) 679-4782
(606) 678-5296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007848A
IN
Other
Enumeration date
09/29/2010
Last updated
02/25/2021
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