Female

Ms. Susan C. Keller LCSW

Clinical Social Worker in Kalispell, MT(View on Map)

Full Name

Ms. Susan Clark Keller LCSW

NPI Number

1760436125

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/20/2006

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Montana

License Number

582LCSW

Contact
Information

Purpose

Mailing
Location

Address

307 1ST AVE EAST
307 1ST AVE EAST

City

Kalispell
Kalispell

State

MT
MT

Postal Code

59901-4965
59901-4965

Country

US
US

Telephone Number

(406) 257-3877
(406) 257-3877

Identifiers

Identifier

0502537

Identifier State

MT

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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