Individual
CASEY KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
1721 W 10TH ST, LAUREL, MS 39440-2540
(601) 425-9322
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0502A
MS
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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