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1669011276
FRED KUTNICK
SAN DIEGO, CA
NPI
1669011276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA ASW92260)
Enumeration Date
2019-12-30
Last Update Date
2021-02-25
Business Address
FRED KUTNICK
3665 KEARNY VILLA RD STE 165
SAN DIEGO, CA 92123-1954
Phone number: 858-966-8471
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Mailing Address
FRED KUTNICK
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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