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1265928451
KELLY LEE CASEY-STEVENS
ROSEVILLE, CA
NPI
1265928451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-10
Last Update Date
2018-07-10
Business Address
KELLY LEE CASEY-STEVENS CAODC
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-744-6647
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Mailing Address
KELLY LEE CASEY-STEVENS CAODC
1669 WOODHAVEN CIR
ROSEVILLE, CA 95747-4615
Phone number: 916-214-8630
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