Individual
MR. KEITHIE PEIRRE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
1371 LINDEN BLVD APT 7D, BROOKLYN, NY 11212-4710
(646) 305-2676
Mailing address
1371 LINDEN BLVD APT 7D, BROOKLYN, NY 11212-4710
(646) 305-2676
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
25659
NY
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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