Individual
KELSEY CAROLYN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 COYLE AVE, CARMICHAEL, CA 95608-0306
(916) 537-5374
Mailing address
401 WESTACRE RD APT 31, WEST SACRAMENTO, CA 95691-2678
(916) 500-8155
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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