Provider Information for 1356640973
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Mrs. CHARLENE JONES MSW, LCSW
Sex: Female
NPI: 1356640973
Last Updated: 2018-08-07
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1356640973 | ||||||||||||
| Enumeration Date | 2011-03-22 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 560 LAMBERT ST FAYETTEVILLE, NC 28305-4667 United States Phone: 910-308-6430 | Fax: | ||||||||||||
| Primary Practice Address | 560 LAMBERT ST FAYETTEVILLE, NC 28305 United States Phone: 910-308-6430 | Fax: | ||||||||||||
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