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1194990614
KENNETH JOHN NYDAM
CADILLAC, MI
NPI
1194990614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2008-04-25
Last Update Date
2013-01-22
Business Address
-- KENNETH JOHN NYDAM LMSW
5839 HOPE WAY
CADILLAC, MI 49601-7085
Phone number: 231-942-8455
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Mailing Address
-- KENNETH JOHN NYDAM LMSW
5839 HOPE WAY
CADILLAC, MI 49601-7085
Phone number: 231-942-8455
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