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1689676413
KENNETH GREGORY SMALL
MECHANICSBURG, PA
NPI
1689676413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS-004858-L)
Enumeration Date
2005-08-11
Last Update Date
2023-11-07
Business Address
Dr. KENNETH GREGORY SMALL Ph.D.
410 E MAIN ST
MECHANICSBURG, PA 17055-6515
Phone number: 717-795-8588
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Mailing Address
Dr. KENNETH GREGORY SMALL Ph.D.
410 E MAIN ST
MECHANICSBURG, PA 17055-6515
Phone number: 717-795-8588
Copy
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