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1477536910
MICHAEL GLEN KEITH
FALLS CHURCH, VA
NPI
1477536910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904003732)
Enumeration Date
2005-11-29
Last Update Date
2014-02-04
Business Address
Mr. MICHAEL GLEN KEITH LCSW
6062 ARLINGTON BLVD
FALLS CHURCH, VA 22044-2943
Phone number: 703-536-1736
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Mailing Address
Mr. MICHAEL GLEN KEITH LCSW
6538 ORLAND ST
FALLS CHURCH, VA 22043-1815
Phone number: 703-536-1736
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