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1700876711
KENNETH CHISHOLM
PANAMA CITY, FL
NPI
1700876711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 0004904)
Enumeration Date
2005-10-21
Last Update Date
2007-07-08
Business Address
-- KENNETH CHISHOLM LMHC
525 E 15TH ST
PANAMA CITY, FL 32405-5412
Phone number: 850-522-4485
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Mailing Address
-- KENNETH CHISHOLM LMHC
525 E 15TH ST
PANAMA CITY, FL 32405-5412
Phone number: 850-522-4485
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