Most Relevant Information
Provider Data
| NPI Number: | 1003253105 |
| Provider Name: | KELLY DAWNE MCBRIDE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | ASW 35261 |
Most Important Dates
| Enumeration Date: | 05/29/2013 |
| Last Updated: | 04/07/2015 |
Provider Practice Location
650 CLARK WAY
PALO ALTO
CA
943042300
Practice Location Phone/Fax
| Phone: | 6506173834 |
| Fax: |
Provider Mailing Location
926 GATES ST
EAST PALO ALTO
CA
943032550
Provider Mailing Phone/Fax
| Phone: | 8017395951 |
| Fax: |