Individual
CHARLES DRAVO LOVELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
3584 JEROME AVE, BRONX, NY 10467-1052
(718) 653-1537
(718) 882-1426
Mailing address
PO BOX 31094, HARTFORD, CT 06150-1094
(800) 989-6446
(518) 952-8287
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
072394
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420795
—
NY
Enumeration date
06/08/2006
Last updated
03/24/2008
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