Individual
MISS KEELY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
255 N MIAMI ST, WABASH, IN 46992-2705
(260) 563-8446
Mailing address
PO BOX 497, WARSAW, IN 46581-0497
(574) 267-7169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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