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1124648662
KENNETH SIMON RIBOTSKY
NEWPORT BEACH, CA
NPI
1124648662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 118486)
Enumeration Date
2020-04-24
Last Update Date
2020-04-24
Business Address
KENNETH SIMON RIBOTSKY LMFT
1601 DOVE ST STE 100
NEWPORT BEACH, CA 92660-2410
Phone number: 949-706-4248
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Mailing Address
KENNETH SIMON RIBOTSKY LMFT
668 N COAST HWY # 224
LAGUNA BEACH, CA 92651-1513
Phone number: 949-706-4248
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