Individual
MS. BARBARA LYNN KEEN-MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S, LICDC
Contact information
Practice address
3095 KETTERING BLVD., DAYTON, OH 45439
(937) 293-8300
(937) 534-1347
Mailing address
3095 KETTERING BLVD., DAYTON, OH 45439
(937) 293-8300
(937) 534-1347
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC.031137
OH
1041C0700X
Clinical Social Worker
Primary
I.0009563-SUPV
OH
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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