Individual
CHARLES EDWIN SAUERWALD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC I
Contact information
Practice address
35 CRESCENT ST APT 519, WALTHAM, MA 02453-4398
(603) 845-9643
Mailing address
35 CRESCENT ST APT 519, WALTHAM, MA 02453-4398
(603) 845-9643
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23197
MA
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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