CHARLES B. KELLAM

NEW YORK, NY
NPI1487721932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  047627-1)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
-- CHARLES B. KELLAM LCSW-R
1727 AMSTERDAM AVE
NEW YORK, NY 10031-4611
Phone number: 212-694-9200
Mailing Address
-- CHARLES B. KELLAM LCSW-R
30 PARK TER E APT 5E
NEW YORK, NY 10034-1559
Phone number: 212-304-0583