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Individual
DR. KENNETH JOHN CARR
Active
Individual
DR. KENNETH JOHN CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0000000000
CA
103TF0200X
Forensic Psychologist
00000000000
CA
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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