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1518025683
CHARLES L KELLY
PLYMOUTH, MA
NPI
1518025683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 103859)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
Mr. CHARLES L KELLY MSW, LICSW
40 INDUSTRIAL PARK RD DEPARTMENT OF MENTAL HEALTH
PLYMOUTH, MA 02360-4884
Phone number: 508-732-3011
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Mailing Address
Mr. CHARLES L KELLY MSW, LICSW
PO BOX 396
BRANT ROCK, MA 02020-0396
Phone number: 781-837-9312
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