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1174523377
SAMUEL JAMES KELLY
TOWSON, MD
NPI
1174523377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MD 07874)
Enumeration Date
2005-07-28
Last Update Date
2007-07-08
Business Address
MR. SAMUEL JAMES KELLY LCSW-C
200 E JOPPA RD SUITE 108
TOWSON, MD 21286-3150
Phone number: 410-583-8846
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Mailing Address
MR. SAMUEL JAMES KELLY LCSW-C
3316 BATAVIA AVE
BALTIMORE, MD 21214-2609
Phone number: 410-444-7621
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