Individual
MR. RAYMOND M KEESWOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
HWY 491 NORTH PINION STREET, SHIPROCK, NM 87420
(505) 368-1438
Mailing address
PO BOX 873, WATERFLOW, NM 87421-0873
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0073301
NM
Other
Enumeration date
05/23/2007
Last updated
09/06/2019
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