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NPI Code Detail

MEDICARE: NEELEY RACHELLE KEYS MSW, LSW

MEDICARE: NEELEY RACHELLE KEYS MSW, LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerS 0032149OH

General Provider Information

NPI Number : 1336210277
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEELEY RACHELLE KEYS MSW, LSW
Provider Business Mailing Address
First Line : 1495 MORSE RD STE B3
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-6434
Country : US
Telephone Number : 614-267-7003
Fax Number : 614-267-7013
Provider Business Practice Location Address
First Line : 3025 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-2653
Country : US
Telephone Number : 614-267-7003
Fax Number : 614-279-7695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 07/08/2007

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