Individual
KEENEN WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 LAUREL RD UNIT 1711, LINDENWOLD, NJ 08021-6760
(609) 408-9280
Mailing address
1801 LAUREL RD UNIT 1711, LINDENWOLD, NJ 08021-6760
(609) 408-9280
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/03/2019
Last updated
02/03/2019
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