Individual
RAYMOND S KANAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1255 NORTH OAKLAND BLVD., WATERFORD, MI 48327
(248) 406-0104
Mailing address
1255 N OAKLAND BLVD, WATERFORD, MI 48327-1545
(248) 406-0104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6801071202
MI
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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