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1063523918
KENNETH UNDERWOOD
FAIRFIELD, CA
NPI
1063523918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 39188)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- KENNETH UNDERWOOD MFT
1530 WEBSTER ST SUITE D
FAIRFIELD, CA 94533-4994
Phone number: 707-330-7523
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Mailing Address
-- KENNETH UNDERWOOD MFT
1530 WEBSTER ST SUITE D
FAIRFIELD, CA 94533-4994
Phone number: 707-330-7523
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