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1316119175
COLLEEN M KELLY
ENCINO, CA
NPI
1316119175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC49827)
Enumeration Date
2008-04-01
Last Update Date
2012-10-16
Business Address
-- COLLEEN M KELLY
15503 VENTURA BOULEVARD SUITE 390A
ENCINO, CA 91436
Phone number: 818-276-1799
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Mailing Address
-- COLLEEN M KELLY
15503 VENTURA BLVD SUITE 390A
ENCINO, CA 91436-3114
Phone number: 818-276-1799
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