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Individual
MR. KOSE IKENASIO
Active
Individual
MR. KOSE IKENASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
73873
CA
1041C0700X
Clinical Social Worker
Primary
99620
CA
1041S0200X
School Social Worker
—
—
Other
Enumeration date
10/31/2014
Last updated
06/01/2026
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