Individual
KARLEE KEIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1818 WENT AVE STE A, MISHAWAKA, IN 46545-6482
(574) 254-0229
(574) 254-0188
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0310
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33008166A
IN
1041C0700X
Clinical Social Worker
Primary
34009228A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14503865
CAQH
—
01
—
33008166A
SOCIAL WORKER LICENSE
IN
Enumeration date
07/17/2019
Last updated
04/15/2021
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