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1760538896
LAURA J.S. KELLISON
PETALUMA, CA
NPI
1760538896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY19863)
Enumeration Date
2007-01-25
Last Update Date
2013-01-31
Business Address
Dr. LAURA J.S. KELLISON psy.d.
7 4TH ST SUITES 32 AND 33
PETALUMA, CA 94952-3043
Phone number: 707-364-9388
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Mailing Address
Dr. LAURA J.S. KELLISON psy.d.
7 4TH ST SUITES 32 AND 33
PETALUMA, CA 94952-3043
Phone number: 707-364-9388
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