Individual
DR. BRANDON KEENE-ORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., L.P.C.
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7705
Mailing address
1137 MILDRED ST, FLUSHING, MI 48433-1757
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/21/2017
Last updated
01/24/2024
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