KENNETH JASON SHARP

SOUTHGATE, MI
NPI1538617634
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Additional Taxonomies106S00000X Behavior Technician
(Licence: MI  S610465373288)
Enumeration Date2016-09-17
Last Update Date2024-12-17
Business Address
Mr. KENNETH JASON SHARP
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195-2507
Phone number: 313-831-5535
Mailing Address
Mr. KENNETH JASON SHARP
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195-2507
Phone number: 313-831-5535