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1770976425
KELLY LAMPSON
SANTA ROSA, CA
NPI
1770976425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-03-05
Last Update Date
2015-03-05
Business Address
-- KELLY LAMPSON
2304 PROFESSIONAL DRIVE, SUITE 102
SANTA ROSA, CA 95403
Phone number: 707-671-5918
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Mailing Address
-- KELLY LAMPSON
2304 PROFESSIONAL DRIVE, SUITE 102
SANTA ROSA, CA 95403
Phone number:
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