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Individual
KANE SHERROD MORRIS
Active
Individual
KANE SHERROD MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLC
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
802166677
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
V0811119F
—
MI
Enumeration date
06/26/2019
Last updated
08/12/2019
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