Individual
ANDRE CHARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
22511 TELEGRAPH RD, SOUTHFIELD, MI 48033-4115
(313) 587-9869
(313) 209-8989
Mailing address
20726 WESTOVER AVE, SOUTHFIELD, MI 48075-5621
(313) 587-9869
(313) 587-9869
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801085944
MI
172V00000X
Community Health Worker
6801085944
MI
Other
Enumeration date
01/09/2012
Last updated
12/24/2021
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