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1154168573
KELLY R WALSH
SAN DIEGO, CA
NPI
1154168573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LCPC4915)
Enumeration Date
2024-07-12
Last Update Date
2024-07-12
Business Address
KELLY R WALSH
4744 CORONADO AVE
SAN DIEGO, CA 92107-3543
Phone number: 301-412-2938
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Mailing Address
KELLY R WALSH
4744 CORONADO AVE
SAN DIEGO, CA 92107-3543
Phone number: 301-412-2938
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