Individual
MR. KEITH ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21602 STRATFORD CT, OAK PARK, MI 48237-2509
(248) 416-7278
Mailing address
21602 STRATFORD CT, OAK PARK, MI 48237-2509
(248) 416-7278
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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