Individual
ANDREA L CHARLES
Active
Individual
ANDREA L CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW35066
ID
1041C0700X
Clinical Social Worker
Primary
LW60737830
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW - 35066
LICENSE
ID
01
—
LW60737830
LICENSE
WA
Enumeration date
06/29/2013
Last updated
06/14/2023
Update your record
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