Organization
CHARLES LAWRENCE ALLEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES ALLEN LCSW (PRESIDENT)
(813) 230-9248
Entity
Organization
Contact information
Practice address
1121 NIKKI VIEW DR, BRANDON, FL 33511-4879
(813) 230-9248
(812) 657-1049
Mailing address
PO BOX 6908, BRANDON, FL 33508-6015
(813) 230-9248
(813) 657-1049
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW3296
FL
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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