Individual
CODY KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
5860 FULTON DR NW, CANTON, OH 44718-1752
(330) 491-4331
Mailing address
5860 FULTON DR NW, CANTON, OH 44718-1752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1903741
OH
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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