Mark Keylor, LMSW

NPI #1104371186 in Caldwell, Idaho

Provider Information

NPI Number: 1104371186
Entity Type: Individual
Name: Mark Keylor, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Aug 19, 2016
Last Updated: Aug 19, 2016

Practice Location

Address: 3402 FRANKLIN RD
City: Caldwell
State: Idaho
ZIP Code: 83605-6932
Phone: (208) 455-7061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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