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1114304920
KENNETH GRAVES
NEWPORT BEACH, CA
NPI
1114304920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 84621)
Enumeration Date
2015-04-30
Last Update Date
2017-02-15
Business Address
Mr. KENNETH GRAVES LMFT
1000 QUAIL ST #189
NEWPORT BEACH, CA 92660-2731
Phone number: 714-397-2562
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Mailing Address
Mr. KENNETH GRAVES LMFT
1000 QUAIL ST #189
NEWPORT BEACH, CA 92660-2731
Phone number: 714-397-2562
Copy
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