KELLY MARIE LAVAN

SAN DIEGO, CA
NPI1932870276
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: CA  113100)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: CA  136588)
104100000X Social Worker
Enumeration Date2021-09-27
Last Update Date2026-01-23
Business Address
Miss KELLY MARIE LAVAN LCSW
6145 IMPERIAL AVE
SAN DIEGO, CA 92114-4213
Phone number: 619-234-8888
Mailing Address
Miss KELLY MARIE LAVAN LCSW
6145 IMPERIAL AVE
SAN DIEGO, CA 92114-4213
Phone number: