Individual
KEELY PAGE EASTERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2700 S ROAN ST STE 435, JOHNSON CITY, TN 37601-7587
(423) 408-8041
Mailing address
2700 S ROAN ST STE 435, JOHNSON CITY, TN 37601-7587
(423) 408-8041
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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