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Organization
TK RESPECT LLC
Active
Organization
TK RESPECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS P KEATING (OWNER)
(978) 422-0245
Entity
Organization
Contact information
Practice address
21 CULLEY ST, FITCHBURG, MA 01420-3509
(978) 422-0245
Mailing address
21 CULLEY ST, FITCHBURG, MA 01420-3509
(978) 422-0245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5665
MA
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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