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1568425635
KEITH EDWARD FENDER
RADFORD, VA
NPI
1568425635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904004405)
Enumeration Date
2006-04-10
Last Update Date
2007-07-08
Business Address
Dr. KEITH EDWARD FENDER Ph.D., LCSW
519 2ND ST
RADFORD, VA 24141-1403
Phone number: 540-639-9040
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Mailing Address
Dr. KEITH EDWARD FENDER Ph.D., LCSW
519 2ND ST
RADFORD, VA 24141-1403
Phone number: 540-639-9040
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