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1861797615
KELLY LEE CASSIDY
VENTURA, CA
NPI
1861797615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-01-25
Last Update Date
2011-01-25
Business Address
Mr. KELLY LEE CASSIDY
955 E THOMPSON BLVD
VENTURA, CA 93001-3008
Phone number: 805-641-9100
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Mailing Address
Mr. KELLY LEE CASSIDY
955 E THOMPSON BLVD
VENTURA, CA 93001-3008
Phone number: 805-641-9100
Copy
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