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1760656680
SHERMAN KELLY
ITHACA, NY
NPI
1760656680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 071099)
Enumeration Date
2008-04-22
Last Update Date
2008-04-22
Business Address
-- SHERMAN KELLY LCSW-R
204 N CAYUGA ST
ITHACA, NY 14850-4333
Phone number: 607-273-7494
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Mailing Address
-- SHERMAN KELLY LCSW-R
204 N CAYUGA ST
ITHACA, NY 14850-4333
Phone number: 607-273-7494
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