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1346567773
KELLY LEWALLEN
PALM DESERT, CA
NPI
1346567773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 37832)
Enumeration Date
2010-04-25
Last Update Date
2010-04-25
Business Address
-- KELLY LEWALLEN MFT
44672 MONTEREY AVE
PALM DESERT, CA 92260-3326
Phone number: 760-777-7720
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Mailing Address
-- KELLY LEWALLEN MFT
PO BOX 6753
LA QUINTA, CA 92248-6753
Phone number: 760-777-7720
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