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Individual
DR. SUSAN KEENS
Active
Individual
DR. SUSAN KEENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD; MFT
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 14158
CA
106H00000X
Marriage & Family Therapist
MFT 14029
CA
Other
Enumeration date
10/13/2015
Last updated
02/18/2022
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