Provider Information for 1982198339
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KEIARA ALEXIS MARSH LMFT
Sex: Female
NPI: 1982198339
Last Updated: 2023-11-27
Certification Date: 2023-11-27
Certification Date: 2023-11-27
Details
Name | Value | ||||||||||||
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NPI | 1982198339 | ||||||||||||
Enumeration Date | 2018-06-19 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 141 NEW SHACKLE ISLAND RD HENDERSONVILLE, TN 37075-2327 United States Phone: 615-476-5733 | Fax: | ||||||||||||
Primary Practice Address | 4652 INDIAN SUMMER DR NASHVILLE, TN 37207-1000 United States Phone: 615-476-5733 | Fax: | ||||||||||||
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