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1487721932
CHARLES B. KELLAM
NEW YORK, NY
NPI
1487721932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 047627-1)
Enumeration Date
2006-11-29
Last Update Date
2007-07-08
Business Address
-- CHARLES B. KELLAM LCSW-R
1727 AMSTERDAM AVE
NEW YORK, NY 10031-4611
Phone number: 212-694-9200
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Mailing Address
-- CHARLES B. KELLAM LCSW-R
30 PARK TER E APT 5E
NEW YORK, NY 10034-1559
Phone number: 212-304-0583
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