Individual
HEATHER KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
33 CLEMENTS CT, STUARTS DRAFT, VA 24477-2905
(850) 748-8404
Mailing address
33 CLEMENTS CT, STUARTS DRAFT, VA 24477-2905
(850) 748-8404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004934
VA
Other
Enumeration date
12/03/2014
Last updated
06/02/2015
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