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1740321454
KELLI ANN KING
MODESTO, CA
NPI
1740321454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA mfc42864)
Enumeration Date
2007-02-08
Last Update Date
2011-06-08
Business Address
Ms. KELLI ANN KING MFT
2937 VENEMAN AVE # A117
MODESTO, CA 95356-0638
Phone number: 209-527-1185
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Mailing Address
Ms. KELLI ANN KING MFT
2937 VENEMAN AVE # A117
MODESTO, CA 95356-0638
Phone number: 209-527-1185
Copy
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