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1528218864
KENNETH LAMAR MCCOY
GRAND RAPIDS, MI
NPI
1528218864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801085178/2172616)
Enumeration Date
2008-09-23
Last Update Date
2008-09-23
Business Address
Mr. KENNETH LAMAR MCCOY LLMSW
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4304
Phone number: 616-456-1443
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Mailing Address
Mr. KENNETH LAMAR MCCOY LLMSW
4711 WALMA AVE SE 204
KENTWOOD, MI 49512-5250
Phone number: 616-819-0295
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