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Individual

CHARLENE VERNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1412 BROADWAY, 21ST FLOOR, SUITE 2112, NEW YORK, NY 10018
(800) 442-8106
Mailing address
1412 BROADWAY, FL 12TH, SUITE 2112, NEW, NY 10018

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/29/2010
Last updated
07/28/2025
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