Individual
KEVIN D FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLBSW
Contact information
Practice address
1040 S WINTER ST STE 1022, ADRIAN, MI 49221-3876
(517) 263-8905
Mailing address
PO BOX 83, PIONEER, OH 43554-0083
(517) 662-9759
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
6802090452
MI
Other
Enumeration date
07/06/2017
Last updated
06/13/2019
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