Charles S Herndon, LSW

NPI #1922207794 in Kent, Washington

Provider Information

NPI Number
1922207794
Entity Type
Individual
Name
Charles S Herndon, LSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LSW
Enumeration Date
Jul 12, 2007
Last Updated
Jul 12, 2007

Practice Location

Address
325 W GOWE ST
City
Kent
ZIP Code
98032-5892
Phone
(253) 520-9350

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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