Individual
AERIAL DENISE KEYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1338 W 4TH ST, ONTARIO, OH 44906-1828
(419) 775-5594
Mailing address
1338 W 4TH ST, ONTARIO, OH 44906-1828
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1700551
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700551
COUNSELOR, SOCIAL WORKER, MARRIAGE, AND FAMILY THERAPIST BOARD
OH
Enumeration date
12/29/2020
Last updated
12/29/2020
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