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1952794752
KELLIE GARDNER
LOS ANGELES, CA
NPI
1952794752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT104748)
Enumeration Date
2015-03-18
Last Update Date
2021-08-09
Business Address
KELLIE GARDNER
1849 SAWTELLE BLVD STE 610
LOS ANGELES, CA 90025-7013
Phone number: 323-352-0345
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Mailing Address
KELLIE GARDNER
4862 MCCONNELL AVE UNIT 1/4
LOS ANGELES, CA 90066-6712
Phone number: 233-520-3453
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