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1669023750
KELLIE E NISSEN
OAKLAND, CA
NPI
1669023750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 35141)
Enumeration Date
2019-09-20
Last Update Date
2024-08-28
Business Address
KELLIE E NISSEN PsyD
451 51ST ST
OAKLAND, CA 94609-2143
Phone number: 860-878-0350
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Mailing Address
KELLIE E NISSEN PsyD
451 51ST ST
OAKLAND, CA 94609-2143
Phone number: 860-878-0350
Copy
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