Individual
MR. KEITH LAMONT DANGERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
(313) 576-1863
Mailing address
18034 INDIANA ST, DETROIT, MI 48221-2419
(313) 863-0929
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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