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1366543704
THOMAS KENNETH EBERSTEN
CATHEDRAL CITY, CA
NPI
1366543704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 22337)
Enumeration Date
2006-09-26
Last Update Date
2011-09-20
Business Address
Mr. THOMAS KENNETH EBERSTEN LCSW
68625 PEREZ RD
CATHEDRAL CITY, CA 92234-7250
Phone number: 760-863-7874
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Mailing Address
Mr. THOMAS KENNETH EBERSTEN LCSW
16800 LAKESIDE CT
DESERT HOT SPRINGS, CA 98241
Phone number: 760-288-2711
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