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Individual

KEEGAN SALISBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, ALMFT, CFLE-P

Contact information

Practice address
5745 BROADWAY, MERRILLVILLE, IN 46410-1647
(219) 237-4059
Mailing address
5475 BROADWAY, #155, MERRILLVILLE, IN 46410-1647
(219) 237-4059

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.011624
IL
106H00000X
Marriage & Family Therapist
IL
106H00000X
Marriage & Family Therapist
IN
106H00000X
Marriage & Family Therapist
MI
183700000X
Pharmacy Technician
Primary
67041675A
IN

Other

Enumeration date
07/17/2025
Last updated
01/27/2026
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