Provider Demographics
NPI:1992493613
Name:VALO, CHARLES (BSW)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:VALO
Suffix:
Gender:M
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 MILLER ST
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-6815
Mailing Address - Country:US
Mailing Address - Phone:415-662-0333
Mailing Address - Fax:
Practice Address - Street 1:64 MILLER ST
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-6815
Practice Address - Country:US
Practice Address - Phone:415-662-0333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker