Individual
CHRISTINE L CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
50 GREENWOOD LN, SPRINGBORO, OH 45066-3033
(937) 746-1154
(937) 746-8523
Mailing address
204 COOK RD, SUITE 400, LEBANON, OH 45036-9600
(513) 228-7800
(513) 695-2952
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I5156-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000246005
ANTHEM
—
Enumeration date
05/25/2006
Last updated
07/14/2015
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