Individual
CHARLES GLENN DAILEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1300 N 6TH ST, LONGVIEW, TX 75601-5567
(800) 446-8253
(903) 234-1639
Mailing address
107 WOODBINE PL, LONGVIEW, TX 75601-2912
(903) 758-2471
(903) 234-1639
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
116271
TX
Other
Enumeration date
07/26/2021
Last updated
08/21/2025
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