KELLY ANN CARUSO

PERRIS, CA
NPI1275777989
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  01-045074)
Enumeration Date2009-04-24
Last Update Date2009-04-24
Business Address
-- KELLY ANN CARUSO CAS II
2055 N PERRIS BLVD STE G6
PERRIS, CA 92571-2516
Phone number: 951-674-5354
Mailing Address
-- KELLY ANN CARUSO CAS II
PO BOX 549
LAKE ELSINORE, CA 92531-0549
Phone number: 951-674-5354
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