Individual
MR. CHARLY MATHEW
Active
Individual
MR. CHARLY MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
093684-01
NY
1041C0700X
Clinical Social Worker
7747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767212800
—
FL
Enumeration date
04/26/2007
Last updated
03/17/2023
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