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41690 Enterprise Cir N Ste 230 Temecula CA 92590-5660 | |
| (360) 449-2505 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 41690 Enterprise Cir N Ste 230, Temecula, California |
| Authorized Official Name and Position | Michelle Kelley (PRESIDENT) |
| Authorized Official Contact | 3604492505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
30435 Moonlight Ct Temecula CA 92591-7346 Ph: (360) 449-2505 | 41690 Enterprise Cir N Ste 230 Temecula CA 92590-5660 Ph: (360) 449-2505 |
| NPI Number | 1275357816 |
|---|---|
| Provider Enumeration Date | 11/11/2024 |
| Last Update Date | 11/22/2024 |
| Certification Date | 11/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275357816 | NPI | - | NPPES |
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