Individual
KEELEY RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 LOVERS PATH DR, SPRINGTOWN, TX 76082-3045
(817) 382-2414
Mailing address
240 LOVERS PATH DR, SPRINGTOWN, TX 76082-3045
(817) 907-2728
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
87698
TX
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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