Individual
MRS. CHARLENE WEATHERLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2401 S 31ST ST, MS-20-D532, TEMPLE, TX 76508-0001
(254) 724-7859
(254) 724-5240
Mailing address
2401 S 31ST ST, MS-20-D532, TEMPLE, TX 76508-0001
(254) 724-7859
(254) 724-5240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
55200
TX
282N00000X
General Acute Care Hospital
55200
TX
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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