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1609248368
KELLIE MARIE PATE
STOCKTON, CA
NPI
1609248368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Co56670518)
Enumeration Date
2015-10-21
Last Update Date
2024-03-08
Business Address
KELLIE MARIE PATE
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0103
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Mailing Address
KELLIE MARIE PATE
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8694
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