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1417611666
KELLY MARIE KOELSCH
PLACERVILLE, CA
NPI
1417611666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1447681021)
Enumeration Date
2021-10-25
Last Update Date
2022-06-15
Business Address
KELLY MARIE KOELSCH RADT1
2844 COLOMA ST
PLACERVILLE, CA 95667-4406
Phone number: 530-626-9240
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Mailing Address
KELLY MARIE KOELSCH RADT1
2844 COLOMA ST
PLACERVILLE, CA 95667-4406
Phone number: 530-626-9240
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