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General NPI Number Information
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NPI Number | 1598400921
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Entity Type | Organization
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Legal Business Name | KEN HOWARD LICENSED CLINICAL SOCIAL WORKER CST INC.
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Dates
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Enumeration Date | 04/29/2022
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Last Update Date | 04/29/2022
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Provider Practice Location Address
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Address Line | 705 WESTMOUNT DRIVE UNIT 301
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069
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Country | US
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Telephone | 310-339-5778
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Fax |
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Provider Business Mailing Address
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Address Line | 705 WESTMOUNT DRIVE UNIT 301
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069
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Country | US
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Telephone | 310-339-5778
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. KENNETH BRIAN HOWARD
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Credential | MSW, LCSW, CST
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Telephone | 310-339-5778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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