Individual
DESIREE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 COULTER AVE, ARDMORE, PA 19003-2416
(215) 275-8710
Mailing address
2406 LEXINGTON MEWS, WOOLWICH TOWNSHIP, NJ 08085-1351
(856) 371-1099
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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