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1811394133
KALENE NICKELSON
SAN LEANDRO, CA
NPI
1811394133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW61276)
Enumeration Date
2014-12-02
Last Update Date
2014-12-02
Business Address
-- KALENE NICKELSON ASW
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577-4611
Phone number: 510-352-9200
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Mailing Address
-- KALENE NICKELSON ASW
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577-4611
Phone number: 510-352-9200
Copy
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