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Individual
MRS. JOYCE B KEOHAN
Active
Individual
MRS. JOYCE B KEOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105902
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164420000
MAGELLAN
MA
01
—
2099770
CIGNA
MA
01
—
228395
MHN/CHAMPUS
MA
01
—
426056
HARVARD/PILGRIM
MA
01
—
800012152
RAILROAD MEDICARE
MA
01
—
PO44O8
BLUE CROSS
MA
Enumeration date
08/01/2006
Last updated
04/03/2015
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