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Individual
KENNETH A KISH
Active
Individual
KENNETH A KISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, LMFT
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801014727
MI
106H00000X
Marriage & Family Therapist
4101005482
MI
Other
Enumeration date
07/13/2006
Last updated
10/21/2008
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