Individual
CAROLINE KEANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
99 CHURCH ST, LOWELL, MA 01852-2621
(978) 458-6282
Mailing address
5 DIXON ST, TYNGSBORO, MA 01879-1203
(978) 649-9773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
217542
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1305638
—
MA
Enumeration date
03/05/2012
Last updated
03/05/2012
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