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1568113843
KELLIE GRAY
AUBURN, CA
NPI
1568113843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-01-18
Last Update Date
2023-01-27
Business Address
KELLIE GRAY RADT
12183 LOCKSLEY LN STE 105
AUBURN, CA 95602-2050
Phone number: 530-885-1961
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Mailing Address
KELLIE GRAY RADT
PO BOX 6021
AUBURN, CA 95604-6021
Phone number: 530-878-5166
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