KENNETH BLAIR MARTIN

PORTAGE, MI
NPI1831823665
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: MI  6801058849)
Enumeration Date2022-07-16
Last Update Date2024-01-16
Business Address
KENNETH BLAIR MARTIN LMSW
5900 PORTAGE RD
PORTAGE, MI 49002-1774
Phone number: 269-718-3366
Mailing Address
KENNETH BLAIR MARTIN LMSW
5900 PORTAGE RD
PORTAGE, MI 49002-1774
Phone number: 269-718-3366
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