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Individual

JESSICA KEITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1327 BAYFIELD PKWY, SUITE A, BAYFIELD, CO 81122
(970) 759-6891
Mailing address
13145 COUNTY ROAD 502, BAYFIELD, CO 81122-9014
(970) 759-6891

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09924779
CO

Other

Enumeration date
04/01/2019
Last updated
04/01/2019
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