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Individual

MR. CHARLES CODNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
700 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-3345
(888) 500-2067
(617) 649-8520
Mailing address
700 MASSACHUSETTS AVE FL 3, CAMBRIDGE, MA 02139-3345
(888) 500-2067
(617) 649-8520

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128421
MA
1041C0700X
Clinical Social Worker
227488
MA

Other

Enumeration date
05/18/2016
Last updated
09/25/2024
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