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1861634016
BRAD KELLY
OAKLAND, CA
NPI
1861634016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-04-02
Last Update Date
2009-04-02
Business Address
-- BRAD KELLY
2551 SAN PABLO AVE
OAKLAND, CA 94612-1159
Phone number: 510-446-7100
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Mailing Address
-- BRAD KELLY
2551 SAN PABLO AVE
OAKLAND, CA 94612-1159
Phone number: 510-446-7100
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