Individual
KEITH SEEGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7525 E 82ND ST, INDIANAPOLIS, IN 46256-1433
(317) 621-5719
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006128A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100073590
—
IN
Enumeration date
10/24/2011
Last updated
10/29/2019
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