SHANE KELLY

CAMERON PARK, CA
NPI1528479755
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-05-09
Last Update Date2014-05-09
Business Address
-- SHANE KELLY
3061 GARDEN CIR UNIT C
CAMERON PARK, CA 95682-8557
Phone number: 530-903-0662
Mailing Address
-- SHANE KELLY
3061 GARDEN CIR UNIT C
CAMERON PARK, CA 95682-8557
Phone number: 530-903-0662
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