MR. Charles L Boris, LISW

NPI #1871684589 in Boardman, Ohio

Provider Information

NPI Number: 1871684589
Entity Type: Individual
Name: MR. Charles L Boris, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LISW
Enumeration Date: Sep 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 725 BOARDMAN CANFIELD RD
Address 2: BUILDING D
City: Boardman
State: Ohio
ZIP Code: 44512
Phone: (330) 783-9690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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