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1619736071
KENNETH WIBOWO PRANOTO
HOUSTON, TX
NPI
1619736071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 108149)
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
KENNETH WIBOWO PRANOTO
2425 HOLLY HALL ST APT A4
HOUSTON, TX 77054-3930
Phone number: 832-409-8767
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Mailing Address
KENNETH WIBOWO PRANOTO
2425 HOLLY HALL ST APT A4
HOUSTON, TX 77054-3930
Phone number: 832-409-8767
Copy
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