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Individual
KEITH BERUBE
Active
Individual
KEITH BERUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAGS LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MHC00473
RI
101YM0800X
Mental Health Counselor
MHC00473
RI
Other
Enumeration date
11/22/2010
Last updated
03/04/2019
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