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Individual
MR. KENNETH JOHN BRENIMAN
Active
Individual
MR. KENNETH JOHN BRENIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, RYT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22958
CA
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
25705 YOGA ALLIANCE
CA
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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