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1821741471
KELLY MICHELLE RYAN
INDIO, CA
NPI
1821741471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA LCI04260315)
Enumeration Date
2022-02-02
Last Update Date
2022-02-02
Business Address
KELLY MICHELLE RYAN LAADC
44359 PALM ST
INDIO, CA 92201-3116
Phone number: 760-660-2006
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Mailing Address
KELLY MICHELLE RYAN LAADC
44359 PALM ST
INDIO, CA 92201-3116
Phone number: 760-660-2006
Copy
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