KENNETH WILLIAM LACOSSE

NEGAUNEE, MI
NPI1154816676
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-06-27
Last Update Date2018-08-14
Business Address
KENNETH WILLIAM LACOSSE
104 MALTON RD
NEGAUNEE, MI 49866
Phone number: 906-228-4692
Mailing Address
KENNETH WILLIAM LACOSSE
97 S 4TH ST STE C
ISHPEMING, MI 49849-2168
Phone number: 888-977-2109
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