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1538860259
WILLIAM KELLY
GARDENA, CA
NPI
1538860259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 13117-R)
Enumeration Date
2023-03-10
Last Update Date
2023-03-10
Business Address
WILLIAM KELLY RAC
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9031
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Mailing Address
WILLIAM KELLY RAC
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9031
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