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1477852754
KEELEE RAE MANCUSO
SAN DIEGO, CA
NPI
1477852754
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Former Name
KEELEE RAE KIEFER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 26079)
Enumeration Date
2011-03-25
Last Update Date
2011-03-25
Business Address
-- KEELEE RAE MANCUSO LCSW
8810 RIO SAN DIEGO DR STE 2200
SAN DIEGO, CA 92108-1698
Phone number: 858-774-0003
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Mailing Address
-- KEELEE RAE MANCUSO LCSW
8810 RIO SAN DIEGO DR STE 2200
SAN DIEGO, CA 92108-1698
Phone number: 858-774-0003
Copy
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