Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH J FORMOSA SR., MSW, LMSW
Active Sole ProprietorMR. KENNETH J FORMOSA SR., MSW, LMSW is a Social Worker healthcare provider located in ROAMULAS, Michigan. NPI 1215947320 is currently active in the NPPES registry. Verify at CMS.
Social Worker · ROAMULAS, MI
Registration Details
- NPI Number
- 1215947320
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2006 (20.002133373235 yrs)
- Last Updated
- Jul 8, 2007
- License
-
6801069917 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
ROMULAS HELP CENTER9430 WAYNE ROAD SUITE AROAMULAS, MI, 48174Browse MI providers · Browse ZIP 48174
- Phone
- 7349427585
- Fax
- 7349427977
- Primary Specialty
-
Social Worker
104100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.