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1831916048
KENNETH JOSEPH KOOSER
DERBY, KS
NPI
1831916048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: KS 03643-T)
Enumeration Date
2024-09-20
Last Update Date
2024-09-23
Business Address
KENNETH JOSEPH KOOSER LMFT 03643-T
1221 N ROCK RD
DERBY, KS 67037-3678
Phone number: 316-789-8511
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Mailing Address
KENNETH JOSEPH KOOSER LMFT 03643-T
1431 E WOODBROOK CT
DERBY, KS 67037-9713
Phone number: 316-518-4495
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