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Individual
MR. KEITH YALE BURGER
Active
Individual
MR. KEITH YALE BURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW-LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
OH E0000169
OH
1041C0700X
Clinical Social Worker
Primary
OH I0000401
OH
Other
Enumeration date
10/13/2005
Last updated
08/14/2012
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