Individual
MRS. ANN MARIE LYNN KEOKOUMMANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
153 HAZARD AVE, ENFIELD, CT 06082-4592
(860) 253-5020
Mailing address
31 MONTANO RD, ENFIELD, CT 06082-2461
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
10/07/2010
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