KEITH GILLIAM

DORCHESTER, MA
NPI1598058588
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MA  7069)
Enumeration Date2011-05-24
Last Update Date2011-05-24
Business Address
-- KEITH GILLIAM LMHC
90 CUSHING AVE
DORCHESTER, MA 02125-2028
Phone number: 617-436-8600
Mailing Address
-- KEITH GILLIAM LMHC
49 S HUNTINGTON AVE APT 204
JAMAICA PLAIN, MA 02130-4732
Phone number: