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1932870276
KELLY MARIE LAVAN
SAN DIEGO, CA
NPI
1932870276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA 113100)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2021-09-27
Last Update Date
2023-01-26
Business Address
Miss KELLY MARIE LAVAN LMSW
6145 IMPERIAL AVE
SAN DIEGO, CA 92114-4213
Phone number: 619-234-8888
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Mailing Address
Miss KELLY MARIE LAVAN LMSW
6145 IMPERIAL AVE
SAN DIEGO, CA 92114-4213
Phone number: 619-234-8888
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