JERRY S KELLY

CHEEKTOWAGA, NY
NPI1962559278
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  00003961)
Enumeration Date2007-01-05
Last Update Date2007-07-08
Business Address
-- JERRY S KELLY LCSW-R
3719 UNION RD
CHEEKTOWAGA, NY 14225-4249
Phone number: 716-681-7394
Mailing Address
-- JERRY S KELLY LCSW-R
525 WASHINGTON ST
BUFFALO, NY 14203-1711
Phone number: 716-856-4494