Individual
MR. CHARLES MANUEL CALLEJO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
160 FAIRVIEW AVE STE 99, HUDSON, NY 12534-8404
(518) 245-6272
(518) 721-8343
Mailing address
540 JOSLEN BLVD APT 117B, HUDSON, NY 12534-1035
(845) 616-2431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100694
NY
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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