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1588746481
KELLEY TERESE PONCE
PLACENTIA, CA
NPI
1588746481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 14080)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
Ms. KELLEY TERESE PONCE LCSW
377 E CHAPMAN AVE
PLACENTIA, CA 92870-5055
Phone number: 714-577-5400
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Mailing Address
Ms. KELLEY TERESE PONCE LCSW
377 E CHAPMAN AVE
PLACENTIA, CA 92870-5055
Phone number: 714-577-5400
Copy
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