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Individual

MRS. AISHA N CHARLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
JD, LCSW, LICSW

Contact information

Practice address
4 ROBINS NEST PL, ROSWELL, NM 88201-9511
(737) 238-0127
Mailing address
5900 BALCONES DR STE 5379, AUSTIN, TX 78731-4257
(737) 238-0127

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
67577
TX
1041C0700X
Clinical Social Worker
SWB-2025-0376
NM
1041C0700X
Clinical Social Worker
SX61458917
WA

Other

Enumeration date
10/01/2021
Last updated
07/14/2025
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