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Individual

CHARITY MARIE SOPHUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
414 W TOWNSEND, CALVERT, TX 77837
(979) 574-9979
Mailing address
PO BOX 416, CALVERT, TX 77837-0416
(979) 574-9979

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
56411
TX

Other

Enumeration date
03/04/2021
Last updated
03/04/2021
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