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1558642561
KELLY ANN CASSON
SAN CARLOS, CA
NPI
1558642561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 112719)
Enumeration Date
2011-09-02
Last Update Date
2011-09-30
Business Address
Ms. KELLY ANN CASSON CATC
335 QUARRY RD
SAN CARLOS, CA 94070-6217
Phone number: 650-595-8165
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Mailing Address
Ms. KELLY ANN CASSON CATC
335 QUARRY RD
SAN CARLOS, CA 94070-6217
Phone number: 650-595-8165
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