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Organization

BLAIR KEENER LCSW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BLAIR KEENER LCSW (OWNER / SOLE MEMBER)
(808) 651-7465
Entity
Organization

Contact information

Practice address
5702 OLOHENA RD, KAPAA, HI 96746-8808
(808) 651-7465
Mailing address
PO BOX 1923, KAPAA, HI 96746-5923
(808) 651-7465

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
03/30/2022
Last updated
03/30/2022
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