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1205187788
SHANNON MARIE KELLY
VENTURA, CA
NPI
1205187788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA LCSW75222)
Enumeration Date
2012-09-25
Last Update Date
2019-03-07
Business Address
Ms. SHANNON MARIE KELLY LCSW
200 S WELLS RD STE 250
VENTURA, CA 93004-1383
Phone number: 805-647-0991
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Mailing Address
Ms. SHANNON MARIE KELLY LCSW
1040 FLYNN RD
CAMARILLO, CA 93012-5092
Phone number: 805-673-3930
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