Individual
AILEEN MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 STADIUM DRIVE, KALAMAZOO, MI 49008-1654
(269) 343-1651
(269) 382-7078
Mailing address
2615 STADIUM DRIVE, KALAMAZOO, MI 49008-1654
(269) 343-1651
(269) 382-7078
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802068520
MI
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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