Individual
MRS. MARLIES KEOGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
1213 HYLTON HEIGHTS RD, STE 125, MANHATTAN, KS 66502-2810
(785) 565-0678
(785) 539-3268
Mailing address
1213 HYLTON HEIGHTS RD, STE 125, MANHATTAN, KS 66502-2810
(785) 565-0678
(785) 539-3268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LSCSW 1346
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066858
PROVIDER NUMBER
KS
Enumeration date
03/27/2007
Last updated
07/08/2007
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