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1487908703
KETLYN R HENRY
LOS ANGELES, CA
NPI
1487908703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-11-08
Last Update Date
2012-11-08
Business Address
-- KETLYN R HENRY MA
830 S OLIVE ST
LOS ANGELES, CA 90014-3006
Phone number: 213-213-0581
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Mailing Address
-- KETLYN R HENRY MA
830 S OLIVE ST
LOS ANGELES, CA 90014-3006
Phone number: 213-213-0581
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