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1962612457
KELLYANN MOYLAN
SACRAMENTO, CA
NPI
1962612457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- KELLYANN MOYLAN
1120 56TH ST
SACRAMENTO, CA 95819-3918
Phone number: 916-214-5355
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Mailing Address
-- KELLYANN MOYLAN
1120 56TH ST
SACRAMENTO, CA 95819-3918
Phone number: 916-214-5355
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