Search › Michigan › 104100000X
Kevin Larry, LMSW, LCSW
NPI 1396932281 · on the registry since 2007 · sole proprietor
Practice
- Address
- 617 Boutell Dr
Grand Blanc, MI 48439 - Phone
- (404) 988-7120
Additional practice sites
- 1102 S. Mackin Rd, Flint, MI
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YM0800X
1041C0700X
1041C0700X - Licence states on file
- GA, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan