KELLY OTA

LA MESA, CA
NPI1366158925
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  95784)
Enumeration Date2023-01-26
Last Update Date2023-01-26
Business Address
KELLY OTA LCSW
5555 GROSSMONT CENTER DR
LA MESA, CA 91942-3019
Phone number: 619-740-4786
Mailing Address
KELLY OTA LCSW
6151 RANCHO MISSION RD UNIT 315
SAN DIEGO, CA 92108-2228
Phone number: 808-384-8724
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