CHARLES COLCLOUGH

BRONX, NY
NPI1740490796
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  078542)
Enumeration Date2007-05-22
Last Update Date2012-03-30
Business Address
-- CHARLES COLCLOUGH LCSW
25 E 183RD ST
BRONX, NY 10453-1242
Phone number: 718-483-1270
Mailing Address
-- CHARLES COLCLOUGH LCSW
85 W BURNSIDE AVE
BRONX, NY 10453-4015
Phone number: 718-483-1270
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