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1649287285
KENNETH A TERBRACK
COLTON, CA
NPI
1649287285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801078591)
Enumeration Date
2006-08-02
Last Update Date
2015-01-13
Business Address
-- KENNETH A TERBRACK LMSW
1325 E COOLEY DR READJUSTMENT COUNSELING, SAN BERNARDINO VET CENTER
COLTON, CA 92324-3947
Phone number: 909-801-5762
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Mailing Address
-- KENNETH A TERBRACK LMSW
1132 TURNING BEND DR
CLAREMONT, CA 91711-3235
Phone number: 909-801-5762
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