Individual
ERICA LYNN KEELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 W BLACKWELL ST, TULLAHOMA, TN 37388-3395
(931) 461-0290
(931) 461-0209
Mailing address
207 W BLACKWELL ST, TULLAHOMA, TN 37388-3395
(931) 461-0290
(931) 461-0209
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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