Individual
MR. JAWAAN KELLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 CATAWBA ST, BOSTON, MA 02119-1825
(315) 559-6303
Mailing address
42 CATAWBA ST, BOSTON, MA 02119-1825
(315) 559-6303
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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