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1942417035
DIANE G KELLY
NEWPORT BEACH, CA
NPI
1942417035
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Other Name
DIANE G KELLY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS11005)
Enumeration Date
2007-05-17
Last Update Date
2012-08-06
Business Address
Mrs. DIANE G KELLY LCSW MSW
260 NEWPORT CENTER DR STE 203
NEWPORT BEACH, CA 92660-7520
Phone number: 949-244-6140
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Mailing Address
Mrs. DIANE G KELLY LCSW MSW
4165 WARNER AVE UNIT 302
HUNTINGTON BEACH, CA 92649-4255
Phone number: 949-244-6140
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