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1912497249
KELLI STEPHENSON
LOS ANGELES, CA
NPI
1912497249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-05-11
Last Update Date
2018-05-11
Business Address
KELLI STEPHENSON
2010 LINCOLN PK AVE
LOS ANGELES, CA 90031-3119
Phone number: 323-222-1440
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Mailing Address
KELLI STEPHENSON
2010 LINCOLN PK AVE
LOS ANGELES, CA 90031-3119
Phone number:
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