KENNETH DWAYNE PERRY

WARREN, MI
NPI1518081280
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-19
Last Update Date2009-10-23
Business Address
Mr. KENNETH DWAYNE PERRY
23700 VAN DYKE AVE
WARREN, MI 48089-1600
Phone number: 586-758-6670
Mailing Address
Mr. KENNETH DWAYNE PERRY
58868 VIRGINIA CIR
NEW HAVEN, MI 48048-2797
Phone number: 586-749-5266
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