KENNETH PARK

SAN BERNARDINO, CA
NPI1255768974
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  68555)
Enumeration Date2013-09-27
Last Update Date2017-02-17
Business Address
Mr. KENNETH PARK
2372 STERLING AVE
SAN BERNARDINO, CA 92404-4624
Phone number: 310-421-9405
Mailing Address
Mr. KENNETH PARK
2372 STERLING AVE
SAN BERNARDINO, CA 92404-4624
Phone number: 310-421-9405
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