Kenneth John Nydam, LMSW

NPI #1194990614 in Cadillac, Michigan

Provider Information

NPI Number
1194990614
Entity Type
Individual
Name
Kenneth John Nydam, LMSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LMSW
Enumeration Date
Apr 25, 2008
Last Updated
Jan 22, 2013

Practice Location

Address
5839 HOPE WAY
ZIP Code
49601-7085
Phone
(231) 942-8455

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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