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1245695873
KELSEY MANLEY
SANTA ROSA, CA
NPI
1245695873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-26
Last Update Date
2015-12-26
Business Address
-- KELSEY MANLEY
634 PRESSLEY ST
SANTA ROSA, CA 95404-5526
Phone number: 707-573-6955
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Mailing Address
-- KELSEY MANLEY
6742 ROUND OAK RD
PENNGROVE, CA 94951-9753
Phone number: 707-483-0775
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