Most Relevant Information
Provider Data
| NPI Number: | 1003667924 |
| Provider Name: | CHARLES WHITE |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 150110766 |
Most Important Dates
| Enumeration Date: | 03/28/2024 |
| Last Updated: | 03/28/2024 |
Provider Practice Location
395 3RD AVE SW
TAYLORSVILLE
NC
286814180
Practice Location Phone/Fax
| Phone: | 0993532922 |
| Fax: |
Provider Mailing Location
2848 W CULLOM AVE
UNIT 2
CHICAGO
IL
60618
Provider Mailing Phone/Fax
| Phone: | 3152447344 |
| Fax: |