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1194854745
KELLY A LAY-RAITT
UKIAH, CA
NPI
1194854745
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Former Name
KELLY A RAITT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 50696)
Enumeration Date
2007-03-02
Last Update Date
2023-09-07
Business Address
KELLY A LAY-RAITT MFT
776 S STATE ST STE 103
UKIAH, CA 95482-5833
Phone number: 707-463-4915
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Mailing Address
KELLY A LAY-RAITT MFT
PO BOX 18
UKIAH, CA 95482-0018
Phone number:
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