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1780477281
LARRY THOMAS KELLEY
PASADENA, CA
NPI
1780477281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2025-05-27
Last Update Date
2026-09-04
Business Address
LARRY THOMAS KELLEY
1450 N LAKE AVE
PASADENA, CA 91104-2387
Phone number: 626-794-1161
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Mailing Address
LARRY THOMAS KELLEY
1450 N LAKE AVER
PASADENA, CA 91104
Phone number: 626-794-1161
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