Individual
CHARLES MARK OSBORNE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
951 E 1510 N, NORTH OGDEN, UT 84404-7706
(601) 467-6856
Mailing address
951 E 1510 N, NORTH OGDEN, UT 84404-7706
(601) 467-6856
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10738348-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041C0700X
LICENSED CLINICAL SOCIAL WORKER
UT
Enumeration date
03/27/2020
Last updated
03/27/2020
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