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1417255845
KATHLEEN KENNEDY CHAN
ANTIOCH, CA
NPI
1417255845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-03-09
Last Update Date
2011-03-09
Business Address
Ms. KATHLEEN KENNEDY CHAN
3707 SUNSET LN
ANTIOCH, CA 94509-6101
Phone number: 925-522-0124
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Mailing Address
Ms. KATHLEEN KENNEDY CHAN
210 POWELL AVE
PLEASANT HILL, CA 94523-3626
Phone number: 925-212-9036
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