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1750763678
JUSTIN WADE KEATHLEY
JACKSONVILLE, AR
NPI
1750763678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 7536-C)
Enumeration Date
2015-06-27
Last Update Date
2021-05-11
Business Address
JUSTIN WADE KEATHLEY LCSW
2126 N 1ST STREET SUITE F
JACKSONVILLE, AR 72076-2868
Phone number: 501-982-5000
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Mailing Address
JUSTIN WADE KEATHLEY LCSW
1815 PLEASANT GROVE ROAD
JONESBORO, AR 72405-7870
Phone number: 870-933-6886
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