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1902175391
CHARLES J.KALLICK, M.D.,PC
WESTPORT, CT
NPI
1902175391
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Entity Type
Organization
Authorized Contact
CHARLES JOHN KALLICK
President
203-226-3685
Organization Subpart ?
No
Primary Taxonomy
102L00000X Psychoanalyst
(Licence: CT 011345)
Enumeration Date
2011-12-14
Last Update Date
2011-12-14
Business Address
CHARLES J.KALLICK, M.D.,PC
12 CROOKED MILE RD
WESTPORT, CT 06880-1123
Phone number: 203-226-3685
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Mailing Address
CHARLES J.KALLICK, M.D.,PC
12 CROOKED MILE RD
WESTPORT, CT 06880-1123
Phone number: 203-226-3685
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