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Individual

DENNIS J KAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLBSW

Contact information

Practice address
208 W LINCOLN ST, CHARLEVOIX, MI 49720-1336
(231) 547-1144
(231) 547-4970
Mailing address
208 W LINCOLN ST, CHARLEVOIX, MI 49720-1336
(231) 547-1144
(231) 547-4970

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802089749
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20151209439760
MI
Enumeration date
06/23/2017
Last updated
03/26/2020
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