Individual
MS. CHARLENE LETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 NEEDHAM AVE APT 4L, BRONX, NY 10466-6303
(929) 333-0437
Mailing address
1835 NEEDHAM AVE APT 4L, BRONX, NY 10466-6303
(929) 333-0437
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
87569
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87567
UNIVERSITY OF MY EDUCATION DEPARTMENT
—
05
—
87569
—
NY
Enumeration date
09/10/2018
Last updated
09/10/2018
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