Individual
KELLY DAWNE MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 CLARK WAY, PALO ALTO, CA 94304-2300
(650) 617-3834
Mailing address
926 GATES ST, EAST PALO ALTO, CA 94303-2550
(801) 739-5951
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ASW 35261
CA
1041S0200X
School Social Worker
Primary
LCSW65066
CA
Other
Enumeration date
05/29/2013
Last updated
04/07/2015
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