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1376065870
KELLY CHAVEZ
ORANGE, CA
NPI
1376065870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 99294)
Enumeration Date
2017-07-17
Last Update Date
2021-01-28
Business Address
Miss KELLY CHAVEZ
4000 W METROPOLITAN DR STE 402
ORANGE, CA 92868-3504
Phone number: 714-954-2922
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Mailing Address
Miss KELLY CHAVEZ
200 W SANTA ANA BLVD
SANTA ANA, CA 92701-4134
Phone number:
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