Individual
MOIRA KEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
3353 NORTHFIELD TRL, KALAMAZOO, MI 49009-4804
(269) 352-9992
Mailing address
3353 NORTHFIELD TRL, KALAMAZOO, MI 49009-4804
(269) 352-9992
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361001173
MI
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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