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1750408787
COLLEEN M KELLY
OXNARD, CA
NPI
1750408787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-k0509201000)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
Ms. COLLEEN M KELLY c.a.c.
1911 WILLIAMS DR SUITE 140
OXNARD, CA 93036-2612
Phone number: 805-981-9250
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Mailing Address
Ms. COLLEEN M KELLY c.a.c.
1911 WILLIAMS DR SUITE 140
OXNARD, CA 93036-2612
Phone number: 805-981-9250
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