Individual
MR. CHARLES G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
101 WOOD AVE S, 8TH FLOOR, ISELIN, NJ 08830-2749
(732) 744-6355
Mailing address
101 WOOD AVE S, 8TH FLOOR, ISELIN, NJ 08830-2749
(732) 744-6355
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05536000
NJ
Other
Enumeration date
02/15/2011
Last updated
10/09/2012
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