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1063632289
VERTIA MAE KELLY
FRESNO, CA
NPI
1063632289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-27
Last Update Date
2007-07-08
Business Address
Ms. VERTIA MAE KELLY
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706
Phone number: 559-265-4800
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Mailing Address
Ms. VERTIA MAE KELLY
6591 PLYMOUTH ROAD #7
STOCKTON, CA 95207
Phone number: 209-922-7825
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