KENNETH JOHN DE HAAN

SAN PEDRO, CA
NPI1174643753
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS13281)
Enumeration Date2007-03-29
Last Update Date2013-06-11
Business Address
Mr. KENNETH JOHN DE HAAN LCSW
704 WEST 8TH STREET
SAN PEDRO, CA 90731
Phone number: 310-832-7545
Mailing Address
Mr. KENNETH JOHN DE HAAN LCSW
704 W 8TH ST
SAN PEDRO, CA 90731-3017
Phone number: 310-832-7545
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