KEITH DOUGLAS WHITE

LAKEWOOD, OH
NPI1518475268
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  RN960110)
Enumeration Date2018-01-16
Last Update Date2018-01-16
Business Address
KEITH DOUGLAS WHITE
12050 LAKE AVE APT 504
LAKEWOOD, OH 44107-1872
Phone number: 216-231-3772
Mailing Address
KEITH DOUGLAS WHITE
12050 LAKE AVE APT 504
LAKEWOOD, OH 44107-1872
Phone number: 216-231-3772
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