Individual
KEELI MARIA RIGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CTRS, CCLS
Contact information
Practice address
513 GLOUCESTER ST, BRUNSWICK, GA 31520-7014
(912) 289-2497
Mailing address
194 STEPHENS AVE, BAXLEY, GA 31513-7006
(912) 278-4506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008428
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/11/2022
Last updated
02/08/2024
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