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1245924885
KALLIE ELIZABETH KIDDER
SAN LUIS OBISPO, CA
NPI
1245924885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-06-06
Last Update Date
2023-06-06
Business Address
KALLIE ELIZABETH KIDDER
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
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Mailing Address
KALLIE ELIZABETH KIDDER
784 HIGH ST # B
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
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