Individual
CHARLES KENNETH ELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1 BRYANT CRES, WHITE PLAINS, NY 10605-2637
(845) 642-7762
Mailing address
4 GILCHREST RD, CONGERS, NY 10920-2332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
027945
NY
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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