KELLY CARLL

SAN DIEGO, CA
NPI1104297928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: HI  4020)
Enumeration Date2015-10-20
Last Update Date2015-10-20
Business Address
-- KELLY CARLL LCSW
3350 LA JOLLA VILLAGE DR # 122
SAN DIEGO, CA 92161-0002
Phone number: 619-497-8929
Mailing Address
-- KELLY CARLL LCSW
3350 LA JOLLA VILLAGE DR # 122
SAN DIEGO, CA 92161-0002
Phone number: