Individual
GAYLE LYNN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8495 CRATER LAKE HWY, MEDFORD, OR 97503-3011
(541) 826-2111
(541) 830-2518
Mailing address
8495 CRATER LAKE HWY, MEDFORD, OR 97503-3011
(541) 826-2111
(541) 830-2518
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4434
OR
Other
Enumeration date
02/25/2009
Last updated
07/01/2016
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