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1689091258
JUSTIN DAVID KENNARD
DETROIT, MI
NPI
1689091258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801100540)
Enumeration Date
2014-03-21
Last Update Date
2019-01-11
Business Address
JUSTIN DAVID KENNARD L.C.S.W.
111 E KIRBY ST
DETROIT, MI 48202-4003
Phone number: 347-690-0774
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Mailing Address
JUSTIN DAVID KENNARD L.C.S.W.
4751 COMMONWEALTH ST
DETROIT, MI 48208-2225
Phone number: 973-214-9110
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