Individual
KENNETH WHITTUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
38828 GRANDON ST, LIVONIA, MI 48150-3381
(734) 368-4571
Mailing address
38828 GRANDON ST, LIVONIA, MI 48150-3381
(734) 368-4571
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013328
MI
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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