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1932818275
KELLY DEMARTINO
COSTA MESA, CA
NPI
1932818275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-11-15
Last Update Date
2022-11-15
Business Address
KELLY DEMARTINO CADC-II
1103 SANDI LN
COSTA MESA, CA 92627-3964
Phone number: 424-422-5858
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Mailing Address
KELLY DEMARTINO CADC-II
1103 SANDI LN
COSTA MESA, CA 92627-3964
Phone number: 424-422-5858
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