KENNETH JOHN SPARKS

ALLEGAN, MI
NPI1154894756
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801105565)
Enumeration Date2019-01-07
Last Update Date2024-12-17
Business Address
KENNETH JOHN SPARKS LMSW
540 JENNER DR
ALLEGAN, MI 49010-1517
Phone number: 269-673-6617
Mailing Address
KENNETH JOHN SPARKS LMSW
540 JENNER DR
ALLEGAN, MI 49010-1517
Phone number: