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KENLI T BLACK COMMUNITY PEER
COMMUNITY PEER
Day Training/Habilitation Specialist
NPI: 1548012297Individual
Specialties, Licenses & Credentials
Community Health Worker
Community Health Worker
Code: 172V00000X
Day Training/Habilitation SpecialistPrimary
Day Training/Habilitation Specialist
Code: 373H00000X
Contact & Hours
- Address
- 1225 W 190TH ST STE 280
GARDENA, CA 90248 - Phone
- (877) 515-8113
Quick Facts
- NPI
- 1548012297
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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