Search › Michigan › 1041C0700X
Justin Kennard, L.C.S.W
NPI 1689091258 · on the registry since 2014 · sole proprietor
Practice
- Address
- 111 E Kirby St
Detroit, MI 48202 - Phone
- (347) 690-0774
Additional practice sites
- 1775 E 14 Mile Rd., Birmingham, MI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-11
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