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1801493317
KENNETH RYAN MIZE
MIDLAND, MI
NPI
1801493317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801108121)
Enumeration Date
2020-10-07
Last Update Date
2020-10-07
Business Address
KENNETH RYAN MIZE LLMSW
3600 N SAGINAW RD
MIDLAND, MI 48640-2301
Phone number: 989-510-7626
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Mailing Address
KENNETH RYAN MIZE LLMSW
3600 N SAGINAW RD
MIDLAND, MI 48640-2301
Phone number: 989-510-7626
Copy
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