Individual
MR. OLIVER KEADLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1585 JONESVILLE HWY, UNION, SC 29379-9790
(864) 429-3610
Mailing address
1585 JONESVILLE HWY, UNION, SC 29379-9790
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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