Individual
KEEGAN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
436 E WASHINGTON BLVD, FORT WAYNE, IN 46802-3210
(260) 200-5347
Mailing address
12711 SLASH PASS, FORT WAYNE, IN 46818-0063
(260) 414-4098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34012365A
IN
Other
Enumeration date
03/07/2023
Last updated
10/28/2025
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