Individual
MEREDITH KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25161 FAIRGROVE ST, WOODHAVEN, MI 48183-4427
(734) 624-7603
Mailing address
25161 FAIRGROVE ST, WOODHAVEN, MI 48183-4427
(734) 624-7603
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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