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Organization
FRED KEANE LCSW, PLLC
Active
Organization
FRED KEANE LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ILENE KASWER (CREDENTIALING SPECIALIST)
(845) 849-1958
Entity
Organization
Contact information
Practice address
6 HEMLOCK TRAIL CT, CARMEL, NY 10512-5764
(914) 714-3178
(888) 972-5017
Mailing address
PO BOX 1071, CARMEL, NY 10512-8071
(845) 849-1958
(914) 714-3178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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