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1407219355
TINA MARIE KELLY
SANTA ROSA, CA
NPI
1407219355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT85659)
Enumeration Date
2016-03-29
Last Update Date
2016-03-29
Business Address
MS. TINA MARIE KELLY LMFT
1144 SONOMA AVE SUITE 104
SANTA ROSA, CA 95405-4812
Phone number: 707-546-8584
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Mailing Address
MS. TINA MARIE KELLY LMFT
1144 SONOMA AVE SUITE 104
SANTA ROSA, CA 95405-4812
Phone number: 707-546-8584
Copy
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