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Organization
MARY KELSO, PH.,D. INC
Active
Organization
MARY KELSO, PH.,D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY KELSO PH.D. (PSYCHOLOGIST)
(805) 379-9600
Entity
Organization
Contact information
Practice address
325 E HILLCREST DR, STE 115, THOUSAND OAKS, CA 91360-5828
(805) 379-9600
(951) 245-0309
Mailing address
PO BOX 7251, WESTLAKE VILLAGE, CA 91359-7251
(805) 379-9600
(951) 245-0309
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10466
CA
Other
Enumeration date
02/16/2007
Last updated
09/28/2007
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