Individual
DENISE BISBICOS KECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
133 BROOKLINE AVENUE, BOSTON, MA 02215
(617) 421-1157
Mailing address
769 VFW PKWY, WEST ROXBURY, MA 02132-2406
(617) 967-3176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
110349
MA
Other
Enumeration date
04/08/2013
Last updated
09/02/2016
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