Individual
BARRY KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW, DCSW
Contact information
Practice address
199 RIVER FALLS DR, DUNCAN, SC 29334-9248
(864) 680-7913
Mailing address
199 RIVER FALLS DR, DUNCAN, SC 29334-9248
(864) 680-7913
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9318
SC
Other
Enumeration date
06/13/2006
Last updated
09/21/2009
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