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1144762287
KENNETH FIELDS
LANSING, MI
NPI
1144762287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-11-07
Last Update Date
2016-11-07
Business Address
-- KENNETH FIELDS
913 W HOLMES RD
LANSING, MI 48910-0426
Phone number: 517-272-4357
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Mailing Address
-- KENNETH FIELDS
502 W SPRING MEADOWS LN
DEWITT, MI 48820-8750
Phone number: 517-980-4970
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