Individual
MR. CHARLES WILLIAM TIRRELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
118 PLEASANT ST, MARBLEHEAD, MA 01945-2344
(781) 631-3014
Mailing address
118 FARRELL CT, MARBLEHEAD, MA 01945-2552
(781) 631-3014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110072
MA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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