Individual
MS. KEEGAN ALICE STUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCMFT
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7151
(785) 240-7438
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
835
KS
Other
Enumeration date
12/23/2010
Last updated
08/19/2021
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