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Individual

CARRIE KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
2253 OHIO ST, EUREKA, CA 95501-3457

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/18/2008
Last updated
01/14/2009
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