Individual
CHARLES RICHARD PANTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
30 PENNSYLVANIA AVE, CANTON, NC 28716
(828) 538-1383
Mailing address
30 PENNSYLVANIA AVE, CANTON, NC 28716
(828) 538-1383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004383
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142GN
BC BS OF NC
NC
05
—
6106086
—
NC
Enumeration date
11/29/2006
Last updated
07/11/2014
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