Individual
JACQUELINE ELAINE KEITEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LSCSW
Contact information
Practice address
7280 NW 87TH TER, SUITE 210, KANSAS CITY, MO 64153-3720
(816) 872-2463
(816) 533-7220
Mailing address
7280 NW 87TH TER, SUITE 210, KANSAS CITY, MO 64153-3720
(816) 872-2463
(816) 533-7220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003022197
MO
1041C0700X
Clinical Social Worker
2387
KS
Other
Enumeration date
08/06/2008
Last updated
08/09/2010
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