Provider Demographics
NPI:1689747016
Name:KEE, KATHERINE SUE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:SUE
Last Name:KEE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 LAFAYETTE 40
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:71845-8831
Mailing Address - Country:US
Mailing Address - Phone:870-921-4147
Mailing Address - Fax:
Practice Address - Street 1:626 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:AR
Practice Address - Zip Code:71845-8502
Practice Address - Country:US
Practice Address - Phone:870-921-3800
Practice Address - Fax:870-921-3841
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1838-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical