Individual
CHARLENE CLOUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1045 KLOTZ RD, BOWLING GREEN, OH 43402-4820
(419) 352-7588
(419) 354-4977
Mailing address
40581 BLYTHEFIELD LN, CANTON, MI 48188-2251
(734) 635-3348
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0600069
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S0600069
LSW
OH
Enumeration date
04/11/2007
Last updated
07/08/2007
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