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1013393693
LEZAH KELLEY
MARYSVILLE, CA
NPI
1013393693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-08-05
Last Update Date
2015-08-05
Business Address
-- LEZAH KELLEY
1496 N BEALE RD
MARYSVILLE, CA 95901-6205
Phone number: 504-782-6221
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Mailing Address
-- LEZAH KELLEY
1725 10TH AVE
OLIVEHURST, CA 95961-4211
Phone number:
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