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1073617361
KENNETH ROBERT KEOUGH
OAKLAND, CA
NPI
1073617361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 46870)
Enumeration Date
2006-09-08
Last Update Date
2022-08-29
Business Address
KENNETH ROBERT KEOUGH MFT
876 43RD ST
OAKLAND, CA 94608-3714
Phone number: 415-531-4846
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Mailing Address
KENNETH ROBERT KEOUGH MFT
1625 6TH AVE
OAKLAND, CA 94606-2478
Phone number: 415-531-4846
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