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Individual

KATHLEEN ANN KEAVENY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1428 SAUNDERS RD SW APT B, ALBUQUERQUE, NM 87105-5873
(907) 821-1343
Mailing address
1428 SAUNDERS RD SW APT B, ALBUQUERQUE, NM 87105-5873
(907) 821-1343

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/26/2020
Last updated
08/26/2020
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