Individual
MISS KEISHA NICOLE KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
2625 PATRICIA ROBERTS HARRIS PL NE, WASHINGTON, DC 20018-1614
(773) 584-2289
Mailing address
2625 PATRICIA ROBERTS HARRIS PL NE, WASHINGTON, DC 20018-1614
(773) 584-2289
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LG50082431
DC
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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