KEITH ANTHONY FAIRCLOUGH

ROYAL PALM BEACH, FL
NPI1831563097
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  IMH12852)
Enumeration Date2015-11-25
Last Update Date2015-11-25
Business Address
Mr. KEITH ANTHONY FAIRCLOUGH M.S.
592 CALAMINT PT
ROYAL PALM BEACH, FL 33411-4212
Phone number: 850-566-8481
Mailing Address
Mr. KEITH ANTHONY FAIRCLOUGH M.S.
592 CALAMINT PT
ROYAL PALM BEACH, FL 33411-4212
Phone number: 850-566-8481
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