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1811194178
KEITH ALLEN BURRELL
OAKLAND, CA
NPI
1811194178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC34129)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
Mr. KEITH ALLEN BURRELL MFT
5571 GRIFFIN STREET
OAKLAND, CA 94605
Phone number: 510-667-3440
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Mailing Address
Mr. KEITH ALLEN BURRELL MFT
5571 GRIFFIN STREET
OAKLAND, CA 94605
Phone number: 510-667-3440
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