Individual
DR. CHARLES W PURPER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, PHD
Contact information
Practice address
478 W 1ST ST, OSWEGO, NY 13126-4004
(315) 342-2170
(315) 299-6266
Mailing address
478 W 1ST ST, OSWEGO, NY 13126-4004
(315) 342-2170
(315) 299-6266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
030500
NY
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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