Individual
MR. CHARLES MAINGOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 463-2056
(602) 200-2324
Mailing address
8743 E JAEGER ST, MESA, AZ 85207-3222
(480) 357-8943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCS 25641
CA
1041C0700X
Clinical Social Worker
Primary
LCSW-13780
AZ
Other
Enumeration date
02/02/2007
Last updated
02/15/2013
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