Individual
CHARLES PIPKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW # SW 17370
Contact information
Practice address
112 W CERVANTES ST, PENSACOLA, FL 32501-3128
(850) 972-8455
Mailing address
112 W CERVANTES ST, PENSACOLA, FL 32501-3128
(850) 972-8455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12626
FL
1041C0700X
Clinical Social Worker
Primary
17370
FL
Other
Enumeration date
05/17/2019
Last updated
08/21/2020
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