Individual
DEREK KEE-HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6811 N CENTRAL AVE, TAMPA, FL 33604-5500
(727) 346-8304
(949) 561-4147
Mailing address
3201 MASTERS DR, CLEARWATER, FL 33761-1820
(813) 428-8419
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW20329
PROFESSIONAL LICENSE
FL
Enumeration date
02/10/2023
Last updated
02/10/2023
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