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1174616908
KEVIN MICHAEL CHARLES
SAN LEANDRO, CA
NPI
1174616908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW 19231)
Enumeration Date
2006-10-02
Last Update Date
2011-10-18
Business Address
Mr. KEVIN MICHAEL CHARLES LCSW
2500 FAIRMONT DR
SAN LEANDRO, CA 94578-1005
Phone number: 510-667-7650
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Mailing Address
Mr. KEVIN MICHAEL CHARLES LCSW
2500 FAIRMONT DR
SAN LEANDRO, CA 94578-1005
Phone number: 510-667-7650
Copy
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