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Contact Information

KENNETH E REID, PH.D., LMSW
5220 LOVERS LANE
LL 100
PORTAGE, MI49002
 Phone: 269-381-4442
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for KENNETH E REID · (Male)

NPI Number 1154505071
Status Active
Credentials PH.D., LMSW
Entity Individual
Enumeration date 12/27/2007
Last updated 12/27/2007 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4101000350
  • MI License # 6801006057
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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