Charles Therone Mack JR.

NPI #1003504440 in Toledo, Ohio

Provider Information

NPI Number: 1003504440
Entity Type: Individual
Name: Charles Therone Mack JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Apr 25, 2023
Last Updated: Apr 25, 2023

Practice Location

Address: 500 MADISON AVE
City: Toledo
State: Ohio
ZIP Code: 43604-1222
Phone: (567) 312-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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