Provider Information for 1235151762
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CHARLOTTE F. ST. JUSTE LCSW
Sex: Female
NPI: 1235151762
Last Updated: 2017-07-18
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1235151762 | ||||||||||||||||||||
| Enumeration Date | 2006-07-24 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 54 CONTINENTAL PL STATEN ISLAND, NY 10303-2221 United States Phone: 646-306-7213 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 54 CONTINENTAL PL STATEN ISLAND, NY 10303-2221 United States Phone: 646-306-7213 | Fax: | ||||||||||||||||||||
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