Individual
MR. CHARLES LAURICELLA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
(937) 267-3901
Mailing address
1480 BELVO ESTATES DR, MIAMISBURG, OH 45342-3893
(937) 859-1996
(937) 859-1996
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I 1331
OH
1041C0700X
Clinical Social Worker
I 1331
OH
Other
Enumeration date
05/30/2006
Last updated
09/11/2025
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