Individual
KEITH ANTHONY D'ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
180 DEBUYS RD, BILOXI, MS 39531-4402
(228) 388-0650
(228) 388-0661
Mailing address
147 REYNOIR ST, SUITE 203, BILOXI, MS 39530-4109
(228) 435-6518
(228) 436-1591
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4494
LA
104100000X
Social Worker
Primary
C7421
MS
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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