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1124806583
KIPENZI M HERRON
SAN DIEGO, CA
NPI
1124806583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 141076)
Enumeration Date
2023-09-18
Last Update Date
2023-09-18
Business Address
KIPENZI M HERRON
1925 EUCLID AVE
SAN DIEGO, CA 92105-5361
Phone number: 619-648-1158
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Mailing Address
KIPENZI M HERRON
1925 EUCLID AVE
SAN DIEGO, CA 92105-5361
Phone number:
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