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Individual

MR. PATRICK W KELLEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9481 BAYSHORE DR NW STE 201, SILVERDALE, WA 98383-8378
(509) 552-5820
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CB60794578
WA

Other

Enumeration date
01/13/2018
Last updated
01/13/2018
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