Charles Randall Allen
Social Worker in Tacoma, WA. Individual provider (NPI-1).
NPI number1760802482
StatusActive
Last updated in NPPESMar 5, 2015
Details
- NPI
- 1760802482
- Entity type
- Individual (NPI-1)
- Name
- Charles Randall Allen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2014
- Last updated
- Mar 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | WA | Yes |
| 1041C0700X | Social Worker, Clinical | – | WA |
Practice location
9600 Veterans Dr SwA-122-Sw-Bldg 148
Tacoma, WA 98493-2735
Phone 253-583-3178 · Fax 253-583-3178
Mailing address
9600 Veterans Dr SwA-122-Sw-Bldg 148
Tacoma, WA 98493-2735
Phone 253-583-3178 · Fax 253-589-4035
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