TRACY JUNEIL KELLY

STOCKTON, CA
NPI1508510033
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  117056)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2022-02-03
Last Update Date2024-04-30
Business Address
TRACY JUNEIL KELLY
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8644
Mailing Address
TRACY JUNEIL KELLY
PO BOX 2187
STOCKTON, CA 95201-2187
Phone number: 925-497-1737
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