MR. Dwayne Roosevelt Keith

NPI #1023455789 in Compton, California

Provider Information

NPI Number: 1023455789
Entity Type: Individual
Name: MR. Dwayne Roosevelt Keith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 3, 2013
Last Updated: Jun 3, 2013

Practice Location

Address: 314 W MAGNOLIA ST
City: Compton
State: California
ZIP Code: 90220-2104
Phone: (310) 531-4963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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