Individual
DIANA KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
125 SAINT PAUL ST STE 106, BURLINGTON, VT 05401-8462
(845) 300-5861
Mailing address
125 SAINT PAUL ST STE 106, BURLINGTON, VT 05401-8462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0134284
VT
Other
Enumeration date
06/03/2020
Last updated
11/27/2023
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