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1316380280
CAMILLE GRACE KELLY
SAN DIEGO, CA
NPI
1316380280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 67761)
Enumeration Date
2013-04-10
Last Update Date
2019-06-18
Business Address
CAMILLE GRACE KELLY
1823 48TH ST
SAN DIEGO, CA 92102
Phone number: 619-567-9353
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Mailing Address
CAMILLE GRACE KELLY
1823 48TH ST
SAN DIEGO, CA 92102-1326
Phone number: 619-567-9353
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