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1053460733
KENNETH J DEAVER
LOS GATOS, CA
NPI
1053460733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS16585)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
-- KENNETH J DEAVER LCSW
15951 LOS GATOS BLVD STE 18
LOS GATOS, CA 95032-3488
Phone number: 408-358-9596
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Mailing Address
-- KENNETH J DEAVER LCSW
15951 LOS GATOS BLVD STE 18
LOS GATOS, CA 95032-3488
Phone number: 408-358-9596
Copy
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