KEITH EDWARD FENDER

RADFORD, VA
NPI1568425635
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904004405)
Enumeration Date2006-04-10
Last Update Date2007-07-08
Business Address
Dr. KEITH EDWARD FENDER Ph.D., LCSW
519 2ND ST
RADFORD, VA 24141-1403
Phone number: 540-639-9040
Mailing Address
Dr. KEITH EDWARD FENDER Ph.D., LCSW
519 2ND ST
RADFORD, VA 24141-1403
Phone number: 540-639-9040