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1265939243
KELLIE A DERIFIELD
TUSTIN, CA
NPI
1265939243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 98521)
Enumeration Date
2018-04-06
Last Update Date
2021-04-06
Business Address
KELLIE A DERIFIELD MA, LMFT
218 W MAIN ST STE 104
TUSTIN, CA 92780-7709
Phone number: 714-267-7651
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Mailing Address
KELLIE A DERIFIELD MA, LMFT
218 W MAIN ST STE 104
TUSTIN, CA 92780-7709
Phone number: 714-267-7651
Copy
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