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Individual
MR. THOMAS KENNETH EBERSTEN
Active
Individual
MR. THOMAS KENNETH EBERSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22337
CA
Other
Enumeration date
09/26/2006
Last updated
09/20/2011
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