BLAKE KEITHLEY

BEDFORD, IN
NPI1871867945
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-03-06
Last Update Date2012-03-06
Business Address
-- BLAKE KEITHLEY M.S Ed.S
2325 Q ST
BEDFORD, IN 47421-4718
Phone number: 812-279-4673
Mailing Address
-- BLAKE KEITHLEY M.S Ed.S
840 W FRANK ST
MITCHELL, IN 47446-1748
Phone number: 812-583-5094
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