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1619203676
LARRY RONALD KELLOGG
FORT STEWART, GA
NPI
1619203676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA 000738)
Enumeration Date
2009-10-27
Last Update Date
2009-10-27
Business Address
Mr. LARRY RONALD KELLOGG MSW, LCSW
1061 HARMON AVENUE
FORT STEWART, GA 31314-5674
Phone number: 912-315-6500
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Mailing Address
Mr. LARRY RONALD KELLOGG MSW, LCSW
19 E 64TH ST
SAVANNAH, GA 31405-5201
Phone number: 912-272-9545
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