MR. Theodore Alva Keaton III

NPI #1013075647 in Concord, California

Provider Information

NPI Number: 1013075647
Entity Type: Individual
Name: MR. Theodore Alva Keaton III
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Dec 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3237 BAKER DR
City: Concord
State: California
ZIP Code: 94519-2113
Phone: (925) 827-1690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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