Most Relevant Information
Provider Data
| NPI Number: | 1003366261 |
| Provider Name: | KENNETH LOVE |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/11/2016 |
| Last Updated: | 10/11/2016 |
Provider Practice Location
14799 DIX TOLEDO RD
SOUTHGATE
MI
481952507
Practice Location Phone/Fax
| Phone: | 7343248326 |
| Fax: | 7343248327 |
Provider Mailing Location
11326 GODDARD CT
TAYLOR
MI
481806218
Provider Mailing Phone/Fax
| Phone: | 7343248326 |
| Fax: | 7343248327 |