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1306954599
EARLENE A KELLER
SONORA, CA
NPI
1306954599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA LCS14388)
Enumeration Date
2006-08-28
Last Update Date
2020-03-02
Business Address
EARLENE A KELLER LCSW
101 S FOREST RD
SONORA, CA 95370
Phone number: 209-532-8517
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Mailing Address
EARLENE A KELLER LCSW
PO BOX 162
STANDARD, CA 95373
Phone number: 209-532-8517
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