Individual
DOUGLAS M KEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
601 S EDWIN C MOSES BLVD, NW BLDG,, 1ST FLOOR, DAYTON, OH 45417-3424
(937) 224-4646
(937) 224-1625
Mailing address
601 S EDWIN C MOSES BLVD, NW BLDG,, 1ST FLOOR, DAYTON, OH 45417-3424
(937) 224-4646
(937) 224-1625
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1303603
OH
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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