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1164960076
MORRIS KELLYBREW
PASADENA, CA
NPI
1164960076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C6461214)
Enumeration Date
2017-02-10
Last Update Date
2017-02-10
Business Address
-- MORRIS KELLYBREW CADAC-CAS
1230 N MARENGO AVE
PASADENA, CA 91103-2217
Phone number: 626-797-1124
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Mailing Address
-- MORRIS KELLYBREW CADAC-CAS
1230 N MARENGO AVE
PASADENA, CA 91103-2217
Phone number:
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