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Individual
MS. KEYANA GAUSE
Active
Individual
MS. KEYANA GAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
P016769
NC
1041C0700X
Clinical Social Worker
18201
SC
1041C0700X
Clinical Social Worker
Primary
C018773
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376241
—
SC
Enumeration date
12/07/2021
Last updated
09/02/2025
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