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1578936324
KENNETH JAMES MAZUR
LIVONIA, MI
NPI
1578936324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801060902)
Enumeration Date
2015-11-02
Last Update Date
2015-11-02
Business Address
MR. KENNETH JAMES MAZUR LMSW
32401 8 MILE RD
LIVONIA, MI 48152-1301
Phone number: 248-991-3868
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Mailing Address
MR. KENNETH JAMES MAZUR LMSW
32401 8 MILE RD
LIVONIA, MI 48152-1301
Phone number: 248-991-3868
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