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Individual

KEINOSHA SHANTEZ KEATON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22 PLEASANT RIDGE AVE, GREENVILLE, SC 29605-2112
(214) 601-6208
Mailing address
22 PLEASANT RIDGE AVE, GREENVILLE, SC 29605
(214) 601-6208

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
06/23/2008
Last updated
01/14/2016
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