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1104558048
KELLEY D MCCULLOUGH
LOS ANGELES, CA
NPI
1104558048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW107966)
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
KELLEY D MCCULLOUGH
3862 S REDONDO BLVD
LOS ANGELES, CA 90008-1113
Phone number: 310-350-4350
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Mailing Address
KELLEY D MCCULLOUGH
3862 S REDONDO BLVD
LOS ANGELES, CA 90008-1113
Phone number: 310-350-4350
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