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1942612395
KENTYAH FRASER
VENICE, CA
NPI
1942612395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 78292)
Enumeration Date
2014-05-20
Last Update Date
2014-05-20
Business Address
Mr. KENTYAH FRASER MFT-I
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 310-309-6001
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Mailing Address
Mr. KENTYAH FRASER MFT-I
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 310-309-6001
Copy
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