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Individual

MRS. SUSAN JOAN KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AMFT

Contact information

Practice address
UPLIFT FAMILY SERVICES, 499 LOMA ALTA AVE, LOS GATOS, CA 95030
(408) 364-4157
Mailing address
UPLIFT FAMILY SERVICES, 499 LOMA ALTA AVE, LOS GATOS, CA 95030
(408) 364-4157

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary

Other

Enumeration date
01/06/2022
Last updated
01/06/2022
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