Individual
MR. KENNAN M DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2109 HAMILTON RD STE 202, OKEMOS, MI 48864-1700
(517) 420-7362
Mailing address
5420 PARK LAKE RD, EAST LANSING, MI 48823-3839
(517) 420-7362
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008885
MI
Other
Enumeration date
11/14/2008
Last updated
06/03/2024
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