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Individual

KEITH KESSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LISW-CP, LCSW,LCSW-C

Contact information

Practice address
431 W MARTINTOWN RD, NORTH AUGUSTA, SC 29841-3187
(803) 278-0880
Mailing address
431 W MARTINTOWN RD, NORTH AUGUSTA, SC 29841-3187
(803) 278-0880

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
07129
MD
1041C0700X
Clinical Social Worker
Primary
17756
SC
1041C0700X
Clinical Social Worker
C004311
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6002836
NC
Enumeration date
07/03/2006
Last updated
04/23/2025
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