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Individual
KEELEIGH MASTERS
Active
Individual
KEELEIGH MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
I.1801241
OH
1041C0700X
Clinical Social Worker
Primary
I.1801241-SUPV
OH
172V00000X
Community Health Worker
S.1600344
OH
Other
Enumeration date
07/20/2016
Last updated
05/20/2024
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