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Individual

JAREMY CHARLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
PO BOX 1490, FORT DEFIANCE, AZ 86504-1490
(928) 729-4012
Mailing address
PO BOX 1490, FORT DEFIANCE, AZ 86504-1490
(928) 729-4012

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-22207
AZ

Other

Enumeration date
06/04/2024
Last updated
06/04/2024
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