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1346498151
MICHAEL KELLY ABBOTT
MODESTO, CA
NPI
1346498151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY27701)
Enumeration Date
2008-09-04
Last Update Date
2022-09-12
Business Address
MICHAEL KELLY ABBOTT PSYD
3300 TULLY RD STE B6
MODESTO, CA 95350-0848
Phone number: 209-585-0555
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Mailing Address
MICHAEL KELLY ABBOTT PSYD
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number:
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