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1043469299
KELSEY ANNE FRUEHAN DATTILO
SAN MATEO, CA
NPI
1043469299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA 65361)
Enumeration Date
2008-09-11
Last Update Date
2023-02-02
Business Address
KELSEY ANNE FRUEHAN DATTILO
2000 ALAMEDA DE LAS PULGAS STE 200
SAN MATEO, CA 94403-1293
Phone number: 650-573-2222
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Mailing Address
KELSEY ANNE FRUEHAN DATTILO
PO BOX 5248
SOUTH SAN FRANCISCO, CA 94083-5248
Phone number: 510-367-3963
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