LAURA KELLY

FAIRFIELD, CA
NPI1548430259
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  RAS K0411150752)
Enumeration Date2008-03-10
Last Update Date2008-03-10
Business Address
LAURA KELLY RAS
1735 ENTERPRISE DR BLDG 1
FAIRFIELD, CA 94533-6822
Phone number: 707-425-1799
Mailing Address
LAURA KELLY RAS
1735 ENTERPRISE DR BLDG 1
FAIRFIELD, CA 94533-6822
Phone number: 707-425-1799
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