Individual
CHARLESIA KOSANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3930 4TH AVE, 300, SAN DIEGO, CA 92103-3119
(619) 398-2441
Mailing address
3930 4TH AVE, 300, SAN DIEGO, CA 92103-3119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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