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1003580671
KELLEY ESCAMILLA
LAKE FOREST, CA
NPI
1003580671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 101874)
Enumeration Date
2021-08-05
Last Update Date
2023-07-30
Business Address
KELLEY ESCAMILLA LCSW
22994 EL TORO RD STE 109
LAKE FOREST, CA 92630-4961
Phone number: 714-886-7366
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Mailing Address
KELLEY ESCAMILLA LCSW
PO BOX 27822
SANTA ANA, CA 92799-7822
Phone number:
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