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1124461264
KELLY MENZIE
OAKLAND, CA
NPI
1124461264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2013-04-08
Last Update Date
2013-08-07
Business Address
-- KELLY MENZIE
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-653-5040
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Mailing Address
-- KELLY MENZIE
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-653-5040
Copy
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