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Individual
MR. ALEXANDER KEOGH
Active
Individual
MR. ALEXANDER KEOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LICSW, LIMHP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12973
NE
101YM0800X
Mental Health Counselor
Primary
4305
NE
1041C0700X
Clinical Social Worker
2592
NE
Other
Enumeration date
06/15/2022
Last updated
07/24/2026
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