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1760986152
KENNETH CARLOS
CULVER CITY, CA
NPI
1760986152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 122486)
Enumeration Date
2018-03-20
Last Update Date
2020-10-29
Business Address
KENNETH CARLOS
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-390-6612
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Mailing Address
KENNETH CARLOS
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-390-6612
Copy
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