Individual
TABITHA J KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 W 12TH ST, SCOTT CITY, KS 67871-1412
(785) 743-8491
Mailing address
710 W 12TH ST, SCOTT CITY, KS 67871-1412
(785) 743-8491
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12822
KS
1041C0700X
Clinical Social Worker
Primary
LMSW12822
KS
Other
Enumeration date
08/21/2023
Last updated
10/11/2023
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