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1124187265
KELLY KAGAWA TABAY
FRESNO, CA
NPI
1124187265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 25463)
Enumeration Date
2006-12-06
Last Update Date
2013-07-19
Business Address
Ms. KELLY KAGAWA TABAY LCSW
4441 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-600-9180
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Mailing Address
Ms. KELLY KAGAWA TABAY LCSW
4441 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-600-9180
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