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1720394869
KENNETH SMITH
SAN FRANCISCO, CA
NPI
1720394869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2010-08-26
Last Update Date
2019-05-08
Business Address
KENNETH SMITH
2157 GROVE ST
SAN FRANCISCO, CA 94117-1008
Phone number: 415-387-2275
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Mailing Address
KENNETH SMITH
912 41ST ST
EMERYVILLE, CA 94608-3708
Phone number:
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