Individual
RALPH KEENE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
246 ROAD 3 SOUTH SW, CARTERSVILLE, GA 30120-5503
(678) 464-8176
Mailing address
PO BOX 2423, CARTERSVILLE, GA 30120-1691
(678) 464-8176
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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