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1205581865
KELLY SORACE
IRVINE, CA
NPI
1205581865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW126141)
Enumeration Date
2022-02-12
Last Update Date
2024-11-22
Business Address
KELLY SORACE
200 TECHNOLOGY DR STE L
IRVINE, CA 92618-2404
Phone number: 949-943-1877
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Mailing Address
KELLY SORACE
7105 TELMO # 0
IRVINE, CA 92618-0200
Phone number: 215-962-8813
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