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1790136364
KELLY DANIELLE FRIDAY
SAN PEDRO, CA
NPI
1790136364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CATC 112519)
Enumeration Date
2016-06-24
Last Update Date
2016-06-24
Business Address
-- KELLY DANIELLE FRIDAY CATC; 112519
235 W 9TH ST
SAN PEDRO, CA 90731-3711
Phone number: 310-521-9209
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Mailing Address
-- KELLY DANIELLE FRIDAY CATC; 112519
1729 S MEYLER ST APT 1
SAN PEDRO, CA 90731-4649
Phone number: 310-831-9411
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