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Organization
RODNEY C. KELLER PC
Active
Organization
RODNEY C. KELLER PC
Active
Parent organization
RODNEY C. KELLER, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RODNEY C. KELLER, PC
Authorized official
MR. RODNEY CARLYLE KELLER SR. LCSW, LMFT (PRESIDENT)
(210) 415-4278
Entity
Organization
Contact information
Practice address
319 E MULBERRY AVE, SAN ANTONIO, TX 78212-3024
(210) 415-4278
(210) 757-4030
Mailing address
1502 BEAUCHAMP ST, SAN ANTONIO, TX 78213-1210
(210) 415-4278
(210) 757-4030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00472
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064191201
—
TX
01
—
1679654545
NPI
TX
Enumeration date
05/07/2008
Last updated
05/07/2008
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