Provider Information for 1558481234
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CHARLOTTE L. EASTERLING L.I.S.W.
Other Names:Former Name:CHARLOTTE L ALEXANDERSex: Female
NPI: 1558481234
Last Updated: 2020-02-28
Certification Date: 2020-02-28
Certification Date: 2020-02-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1558481234 | ||||||||
| Enumeration Date | 2007-03-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2005 ASHLAND AVE TOLEDO, OH 43620-1703 United States Phone: 419-841-7701 | Fax: | ||||||||
| Primary Practice Address | 2005 ASHLAND AVE TOLEDO, OH 43620-1703 United States Phone: 419-841-7701 | Fax: | ||||||||
| Secondary Practice Address(es) | 2109 HUGHES DR | ||||||||
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