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1992819007
KEITH A. POWELL
VERO BEACH, FL
NPI
1992819007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2006-08-18
Last Update Date
2018-05-03
Business Address
Mr. KEITH A. POWELL BCABA, CMHP
5935 23RD ST
VERO BEACH, FL 32966-6403
Phone number: 772-794-1367
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Mailing Address
Mr. KEITH A. POWELL BCABA, CMHP
5935 23RD ST
VERO BEACH, FL 32966-6403
Phone number: 772-794-1367
Copy
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