Individual
CHARLES VINCENT SEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
730 S LAFAYETTE AVE, ROYAL OAK, MI 48067-2522
(248) 225-7205
Mailing address
4239 KENMORE RD, BERKLEY, MI 48072-3510
(248) 225-7205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801018629
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227721
MHN PRACTITIONER ID#
MI
01
—
6801018629
LMSW
MI
Enumeration date
01/03/2007
Last updated
07/08/2007
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