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1942753181
KELLEY VANDEWALLE
PASADENA, CA
NPI
1942753181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 26852)
Enumeration Date
2016-07-23
Last Update Date
2016-07-23
Business Address
-- KELLEY VANDEWALLE
595 E COLORADO BLVD SUITE 502
PASADENA, CA 91101-2039
Phone number: 310-467-1833
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Mailing Address
-- KELLEY VANDEWALLE
595 E COLORADO BLVD SUITE 502
PASADENA, CA 91101-2039
Phone number: 310-467-1833
Copy
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