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Individual

MR. CHARLES EDWARD SALIS SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-5057
(313) 961-3405
Mailing address
3129 E LARNED ST, DETROIT, MI 48207-3910
(313) 567-0431

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801080040
MI

Other

Enumeration date
10/08/2010
Last updated
04/05/2026
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