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1053025858
KELLEEN CARRIE STAINER
COSTA MESA, CA
NPI
1053025858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW29834)
Enumeration Date
2023-01-06
Last Update Date
2023-01-06
Business Address
KELLEEN CARRIE STAINER
555 ANTON BLVD STE 150
COSTA MESA, CA 92626-7036
Phone number: 949-204-0011
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Mailing Address
KELLEEN CARRIE STAINER
555 ANTON BLVD STE 150
COSTA MESA, CA 92626-7036
Phone number: 949-204-0011
Copy
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