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1386176220
KAITLYN LAU NELSON
SOUTH SAN FRANCISCO, CA
NPI
1386176220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2017-03-30
Last Update Date
2017-03-30
Business Address
KAITLYN LAU NELSON
1115 MISSION RD
SOUTH SAN FRANCISCO, CA 94080-1302
Phone number: 650-243-4855
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Mailing Address
KAITLYN LAU NELSON
1115 MISSION RD
SOUTH SAN FRANCISCO, CA 94080-1302
Phone number: 650-243-4855
Copy
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