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Individual
KEVIN DE KOCK
Active
Individual
KEVIN DE KOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
82001
CA
104100000X
Social Worker
10771
TN
1041C0700X
Clinical Social Worker
Primary
101466
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/06/2014
Last updated
08/26/2021
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