Shelly D Keller, LCSW

NPI #1063642700 in Lake Winnebago, Missouri

Provider Information

NPI Number: 1063642700
Entity Type: Individual
Name: Shelly D Keller, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 15, 2009
Last Updated: Jul 15, 2009

Practice Location

Address: 120 CHEROKEE LN
City: Lake Winnebago
State: Missouri
ZIP Code: 64034-9304
Phone: (816) 623-9711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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