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1962559278
JERRY S KELLY
CHEEKTOWAGA, NY
NPI
1962559278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 00003961)
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
-- JERRY S KELLY LCSW-R
3719 UNION RD
CHEEKTOWAGA, NY 14225-4249
Phone number: 716-681-7394
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Mailing Address
-- JERRY S KELLY LCSW-R
525 WASHINGTON ST
BUFFALO, NY 14203-1711
Phone number: 716-856-4494
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