JEROME KEITH ANDERSON

DETROIT, MI
NPI1780981514
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MI  6801092493)
Enumeration Date2011-02-14
Last Update Date2011-02-14
Business Address
-- JEROME KEITH ANDERSON
1151 TAYLOR ST STE 570A
DETROIT, MI 48202-1732
Phone number: 313-874-8715
Mailing Address
-- JEROME KEITH ANDERSON
15003 E JEFFERSON AVE
GROSSE POINTE, MI 48230-2013
Phone number: 313-874-8715
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