MR. Charles K Barr JR., L.C.S.W

NPI #1508120817 in Montgomery, Illinois

Provider Information

NPI Number: 1508120817
Entity Type: Individual
Name: MR. Charles K Barr JR., L.C.S.W
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: L.C.S.W
Enumeration Date: Jul 2, 2012
Last Updated: Jul 2, 2012

Practice Location

Address: 115 BOULDER HILL PASS
City: Montgomery
State: Illinois
ZIP Code: 60538-2327
Phone: (630) 844-3001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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