Individual
MR. DENNIS KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MCJ
Contact information
Practice address
145 FAUNCE CORNER ROAD, NORTH DARTMOUTH, MA 02747-1263
(774) 206-1125
Mailing address
47 WILLOW RD, HANOVER, MA 02339-2730
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
S63969435
MA
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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