Individual
REBECCA M CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2421 WILLOW STREET PIKE N, WILLOW STREET, PA 17584-9225
(717) 464-0621
(717) 464-0890
Mailing address
238 N DUKE ST, 2ND FLOOR, LANCASTER, PA 17602-2732
(717) 917-3658
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129634
PA
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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