Individual
BARON KEITH OWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRC
Contact information
Practice address
6201 BROAD ST APT 104, PITTSBURGH, PA 15206-4057
(133) 465-7197
Mailing address
6201 BROAD ST APT 104, PITTSBURGH, PA 15206-4057
(133) 465-7197
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00085651
IL
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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