Charles, Laurie A

Charles, Laurie A is an individual health care provider with primary practice located at 51 Glasgow Ave , Jamestown NY 14701-6413. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Charles, Laurie A can be contacted via phone (716) 664-8630.

Contact Information

Primary practice address
51 Glasgow Ave Jamestown NY 14701-6413
Phone: (716) 664-8630
Fax: (716) 664-8632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R031417-1 New York

Profile Details

NPI number 1467572560
LBN Legal business name Charles, Laurie A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467572560 NPPES
New York Other R031417-1 LICENSE

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