Individual
JENNIFER MARIE KEENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1045 16TH AVE S, SAINT CLOUD, MN 56301-5235
(320) 259-8002
Mailing address
1045 16TH AVE S, SAINT CLOUD, MN 56301-5235
(320) 259-8002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18617
MN
Other
Enumeration date
08/13/2007
Last updated
03/31/2016
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