Individual
JUDITH KEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
239 CHIMNEY DR, BUNKER HILL, WV 25413-3171
(304) 620-5512
Mailing address
PO BOX 71, BUNKER HILL, WV 25413-0071
(304) 620-5512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00944512
WV
Other
Enumeration date
07/07/2017
Last updated
06/18/2023
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