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1205264140
KENNETH THOMAS
PHOENIX, AZ
NPI
1205264140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ BH4214)
Enumeration Date
2013-10-30
Last Update Date
2013-10-30
Business Address
-- KENNETH THOMAS
1010 E SOUTHERN AVE 2
PHOENIX, AZ 85040-3123
Phone number: 602-268-9519
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Mailing Address
-- KENNETH THOMAS
1010 E SOUTHERN AVE 2
PHOENIX, AZ 85040-3123
Phone number: 602-268-9519
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