Individual
CHRISTINA MARY KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8483 SEMINOLE LOOP, FORT BENNING, GA 31905-1963
(516) 241-1811
Mailing address
8483 SEMINOLE LOOP, FORT BENNING, GA 31905-1963
(516) 241-1811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5469C
AL
171W00000X
Contractor
Primary
LSW-2586
HI
Other
Enumeration date
04/29/2020
Last updated
06/16/2026
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