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1669631065
JEFF KELLY
CRESCENT CITY, CA
NPI
1669631065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA psy20204)
Enumeration Date
2008-06-02
Last Update Date
2020-02-07
Business Address
Dr. JEFF KELLY Psy.D.
1080 MASON MALL STE 6C
CRESCENT CITY, CA 95531-4335
Phone number: 707-951-7620
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Mailing Address
Dr. JEFF KELLY Psy.D.
5905 LAKE EARL DR
CRESCENT CITY, CA 95532-0001
Phone number: 707-465-1000
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