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1275216939
CALICO ROSE MCKELVEY
SANTA ROSA, CA
NPI
1275216939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
CALICO ROSE MCKELVEY
1516 APPLE CREEK LN
SANTA ROSA, CA 95401-7618
Phone number: 707-204-9173
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Mailing Address
CALICO ROSE MCKELVEY
1516 APPLE CREEK LN
SANTA ROSA, CA 95401-7618
Phone number: 707-204-9173
Copy
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