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1215715438
KELLY L GROVER
FRESNO, CA
NPI
1215715438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14220)
Enumeration Date
2023-09-19
Last Update Date
2023-09-19
Business Address
KELLY L GROVER
1310 M ST
FRESNO, CA 93721-1808
Phone number: 559-264-2700
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Mailing Address
KELLY L GROVER
1310 M ST
FRESNO, CA 93721-1808
Phone number: 559-264-2700
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