Provider Information for 1801888532
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CHARLOTTE A NEVILLE LCSW
Sex: Female
NPI: 1801888532
Last Updated: 2007-07-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1801888532 | ||||||||
| Enumeration Date | 2005-08-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 500 E COLLEGE ST MARSHALL, MO 65340-3109 United States Phone: 660-831-4206 | Fax:660-831-4071 | ||||||||
| Primary Practice Address | 500 E COLLEGE ST MARSHALL, MO 65340-3109 United States Phone: 660-831-4206 | Fax:660-831-4071 | ||||||||
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