Ibsen Charles
NPI #1508391954 in Stamford, Connecticut
Provider Information
- NPI Number
- 1508391954
- Entity Type
- Individual
- Name
- Ibsen Charles
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Apr 24, 2017
- Last Updated
- Apr 24, 2017
Practice Location
- Address
- 196 GREYROCK PL
- City
- Stamford
- State
- Connecticut
- ZIP Code
- 06901-2006
- Phone
- (917) 406-4911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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