Individual
MR. KEITH WILSON HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,LPC,LISW-CP
Contact information
Practice address
964 RIBAUT RD STE 1, BEAUFORT, SC 29902-5425
(843) 524-5437
(843) 524-0425
Mailing address
964 RIBAUT RD STE 1, BEAUFORT, SC 29902-5425
(843) 524-5437
(843) 524-0425
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4296
SC
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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