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1225178411
KELLY CATHRINE YOUNG
FAIRFIELD, CA
NPI
1225178411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
KELLY CATHRINE YOUNG FST
2500 N TEXAS ST STE A
FAIRFIELD, CA 94533-1639
Phone number: 707-330-6790
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Mailing Address
KELLY CATHRINE YOUNG FST
2400 POLE LINE RD APT 48
DAVIS, CA 95616-0523
Phone number: 530-220-3280
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