Individual
MR. CHARLES M CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
11012 LINNET AVE, CLEVELAND, OH 44111-4865
(216) 386-0648
Mailing address
11012 LINNET AVE, CLEVELAND, OH 44111-4865
(216) 386-0648
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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