Individual
MR. CHARLES H. WYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1615 WOODWARD ST, ORLANDO, FL 32803-4172
(407) 896-7221
(407) 896-9670
Mailing address
1615 WOODWARD ST, ORLANDO, FL 32803-4172
(407) 896-7221
(407) 896-9670
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT0000133
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT0000133
MARRIAGE FAMILY THERAPIST
FL
Enumeration date
06/19/2007
Last updated
07/08/2007
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