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1336155290
TARA LEE KELLY
LOS ANGELES, CA
NPI
1336155290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY 12349)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Dr. TARA LEE KELLY Ph.D.
12304 SANTA MONICA BLVD SUITE 106
LOS ANGELES, CA 90025-2551
Phone number: 310-559-3629
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Mailing Address
Dr. TARA LEE KELLY Ph.D.
12304 SANTA MONICA BLVD SUITE 106
LOS ANGELES, CA 90025-2551
Phone number: 310-559-3629
Copy
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