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1639202492
KATHRYN S. ICENHOWER
LOS ANGELES, CA
NPI
1639202492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS12699)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
Dr. KATHRYN S. ICENHOWER PhD, LCSW
12714 AVALON BLVD
LOS ANGELES, CA 90061-2730
Phone number: 323-242-5000
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Mailing Address
Dr. KATHRYN S. ICENHOWER PhD, LCSW
415 W HILLSDALE ST
INGLEWOOD, CA 90302-1123
Phone number: 323-242-5000
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