Individual
MR. CHARLES IDRIS WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6 WADDINGTON AVE, WEST ORANGE, NJ 07052
(973) 477-8980
Mailing address
6 WADDINGTON AVE, WEST ORANGE, NJ 07052-2619
(973) 477-8980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00854200
NJ
Other
Enumeration date
02/29/2012
Last updated
03/15/2012
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