Individual
KEIGHT WRIGHTMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
203 GOOD AVE, INDIANAPOLIS, IN 46219-7210
(812) 345-4318
Mailing address
911 W 6TH ST APT 2, BLOOMINGTON, IN 47404-3635
(812) 345-4318
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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