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Individual
MS. JORDYN LEA KEASLING
Active
Individual
MS. JORDYN LEA KEASLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11016
NE
104100000X
Social Worker
2756
NE
1041C0700X
Clinical Social Worker
7103
NE
Other
Enumeration date
05/02/2017
Last updated
10/16/2018
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