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1154894756
KENNETH JOHN SPARKS
KALAMAZOO, MI
NPI
1154894756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801097642)
Enumeration Date
2019-01-07
Last Update Date
2023-11-21
Business Address
KENNETH JOHN SPARKS LMSW
978 RIVER ST
KALAMAZOO, MI 49048
Phone number: 269-345-8556
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Mailing Address
KENNETH JOHN SPARKS LMSW
978 RIVER ST
KALAMAZOO, MI 49048
Phone number:
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