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1154894756
KENNETH JOHN SPARKS
ALLEGAN, MI
NPI
1154894756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801105565)
Enumeration Date
2019-01-07
Last Update Date
2024-12-17
Business Address
KENNETH JOHN SPARKS LMSW
540 JENNER DR
ALLEGAN, MI 49010-1517
Phone number: 269-673-6617
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Mailing Address
KENNETH JOHN SPARKS LMSW
540 JENNER DR
ALLEGAN, MI 49010-1517
Phone number:
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