Individual
CHARLES OLEN JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2092 S CUSTER RD, MONROE, MI 48161-1831
(734) 242-8711
(734) 242-3955
Mailing address
7550 LUCERNE DR, SUITE 405, MIDDLEBURG HEIGHTS, OH 44130-6588
(440) 234-8833
(440) 234-3313
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801086646
MI
Other
Enumeration date
03/01/2007
Last updated
11/19/2010
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