Individual
GRACE ELIZABETH KEOGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 SUMMER ST APT 208, MALDEN, MA 02148-2539
(802) 528-9905
Mailing address
105 SUMMER ST APT 208, MALDEN, MA 02148-2539
(802) 528-9905
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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