Wanda Charles

NPI #1508990821 in Mt Sterling, Kentucky

Provider Information

NPI Number: 1508990821
Entity Type: Individual
Name: Wanda Charles
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2479 GRASSY LICK RD
City: Mt Sterling
State: Kentucky
ZIP Code: 40353
Phone: (859) 498-6574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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