Individual
MR. CHARLES WILLIAM LARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 DENIM DR, ERWIN, NC 28339-2204
(910) 230-4011
(910) 230-3669
Mailing address
410 DENIM DR, ERWIN, NC 28339-2204
(910) 230-4011
(910) 230-3669
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
11/14/2013
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