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Organization
KELSEY PIETRO INC
Active
Organization
KELSEY PIETRO INC
Active
Other names
Kelsey pietro inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELSEY MICHELLE PIETRO PSY. D. (OWNER)
(310) 266-7072
Entity
Organization
Contact information
Practice address
24436 ISLAND AVE, CARSON, CA 90745-6540
(310) 266-7072
Mailing address
24436 ISLAND AVE, CARSON, CA 90745-6540
(310) 266-7072
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CB296476
—
CA
Enumeration date
01/25/2023
Last updated
07/20/2023
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