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1295189520
KELLY TERRY
SANTA CRUZ, CA
NPI
1295189520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 70672)
Enumeration Date
2016-04-22
Last Update Date
2016-04-22
Business Address
-- KELLY TERRY ASW
2250 SOQUEL AVE
SANTA CRUZ, CA 95062-1402
Phone number: 831-600-2801
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Mailing Address
-- KELLY TERRY ASW
2250 SOQUEL AVE
SANTA CRUZ, CA 95062-1402
Phone number:
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