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1154700490
LAWRENCE KENYATTA
DETROIT, MI
NPI
1154700490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-05-20
Last Update Date
2015-05-20
Business Address
Mr. LAWRENCE KENYATTA BA. CADC
3031 W GRAND BLVD SUITE 370
DETROIT, MI 48202-3046
Phone number: 313-456-6006
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Mailing Address
Mr. LAWRENCE KENYATTA BA. CADC
3031 W GRAND BLVD SUITE 370
DETROIT, MI 48202-3046
Phone number: 313-456-6006
Copy
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