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1053328583
KENNETH DALE COCKERILL
REDDING, CA
NPI
1053328583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA LCS 21608)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
Mr. KENNETH DALE COCKERILL L.C.S.W.
855 CANYON RD
REDDING, CA 96001-5544
Phone number: 530-378-1855
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Mailing Address
Mr. KENNETH DALE COCKERILL L.C.S.W.
4620 ORKNEY PL
SHASTA LAKE, CA 96019-2126
Phone number: 530-276-9200
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