Individual
DEMETRIUS KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5702 SARGENT RD, CHILLUM, MD 20782-2321
(410) 444-3800
Mailing address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7260
(410) 444-3800
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
27541
MD
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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