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Individual

DR. A KEITH MOBLEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
3707 W MARKET ST, SUITE D, GREENSBORO, NC 27403-1587
(336) 430-1518
Mailing address
3707 W MARKET ST, SUITE D, GREENSBORO, NC 27403-1587
(336) 430-1518

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4081
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
133TN
BLUE CROSS BLUE SHIELD
NC
05
6102154
NC
Enumeration date
12/27/2005
Last updated
07/08/2007
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