Individual
NICOLE ANN KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7401 METRO BLVD STE 250, EDINA, MN 55439-3062
(773) 648-3928
Mailing address
530 BELVIDERE ST E, SAINT PAUL, MN 55107-2404
(773) 648-3928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/01/2021
Last updated
10/15/2024
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