Lisa J. Keith, Lcsw, PLLC
Social Worker, Clinical in Goldsboro, NC. Organization (NPI-2).
NPI number1124124151
StatusActive
Last updated in NPPESJan 16, 2009
Details
- NPI
- 1124124151
- Entity type
- Organization (NPI-2)
- Legal business name
- Lisa J. Keith, Lcsw, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 16, 2006
- Last updated
- Jan 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C002693 | NC | Yes |
Practice location
112 Adler LnGoldsboro, NC 27530-5513
Phone 919-580-0790 · Fax 919-735-9238
Mailing address
112 Adler LnGoldsboro, NC 27530-5513
Phone 919-580-0790 · Fax 919-735-9238
Authorized official
Lisa Johnson Keith
Manager/Partner
9199222055
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