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1710117247
KENNETH LLOYD KENNEDY
DETROIT, MI
NPI
1710117247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-07-17
Last Update Date
2009-07-17
Business Address
-- KENNETH LLOYD KENNEDY
300 W MCNICHOLS RD
DETROIT, MI 48203-2703
Phone number: 313-867-8015
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Mailing Address
-- KENNETH LLOYD KENNEDY
300 W MCNICHOLS RD
DETROIT, MI 48203-2703
Phone number:
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