Individual
CHARLES AUSTIN DALGLEISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1419 GREENE AVE APT 3L, BROOKLYN, NY 11237-5028
(913) 486-3640
Mailing address
1419 GREENE AVE APT 3L, BROOKLYN, NY 11237-5028
(913) 486-3640
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
123585
NY
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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