Individual
KIRA KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MED
Contact information
Practice address
950 WARREN AVE STE 204, EAST PROVIDENCE, RI 02914-1432
(401) 606-3711
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW01845
RI
1041C0700X
Clinical Social Worker
Primary
ISW02870
RI
Other
Enumeration date
10/25/2017
Last updated
07/21/2022
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