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Organization
KELLY M MCCALL LCSW, PLLC
Active
Organization
KELLY M MCCALL LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY M MCCALL LCSW-R (OWNER)
(716) 440-7165
Entity
Organization
Contact information
Practice address
2478 GEORGE URBAN BLVD, DEPEW, NY 14043-2010
(716) 440-7165
(716) 901-7407
Mailing address
2478 GEORGE URBAN BLVD, DEPEW, NY 14043
(716) 440-7165
(716) 901-7407
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770731572
FIDELIS
NY
Enumeration date
09/07/2016
Last updated
09/07/2016
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