Individual
CHARLES ROBERT SCHNEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, C-CATODSW
Contact information
Practice address
884 BROADWAY, OFFICE NUMBER 2, SOUTH PORTLAND, ME 04106-4371
(207) 232-5620
Mailing address
27 CHEVERUS RD, CAPE ELIZABETH, ME 04107-1237
(207) 232-5620
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC7359
ME
Other
Enumeration date
08/24/2007
Last updated
10/01/2007
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