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1275188088
KENNETH EDWARD ROSE
SOUTHFIELD, MI
NPI
1275188088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801094266)
Enumeration Date
2019-08-08
Last Update Date
2019-08-08
Business Address
KENNETH EDWARD ROSE
20411 W 12 MILE RD
SOUTHFIELD, MI 48076-5414
Phone number: 866-703-1901
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Mailing Address
KENNETH EDWARD ROSE
4753 BRADEN ST
DETROIT, MI 48210-2331
Phone number: 313-587-5995
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