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1174940969
PAMELA KETTERING
SAN DIEGO, CA
NPI
1174940969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CiCA00880419)
Enumeration Date
2014-03-18
Last Update Date
2019-11-21
Business Address
PAMELA KETTERING
7545 METROPOLITAN DR
SAN DIEGO, CA 92108-4402
Phone number: 619-718-9890
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Mailing Address
PAMELA KETTERING
3340 KEMPER ST SUITE 103
SAN DIEGO, CA 92110-4906
Phone number: 619-758-1433
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