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1760992846
KELSEY L KOFOID
GRASS VALLEY, CA
NPI
1760992846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1255800617)
Enumeration Date
2017-10-03
Last Update Date
2017-10-03
Business Address
KELSEY L KOFOID RADT
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-273-9541
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Mailing Address
KELSEY L KOFOID RADT
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-273-9541
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