Individual
DENISE L KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LPC
Contact information
Practice address
54 NORTH ST, WILLIMANTIC, CT 06226-2528
(860) 450-7122
Mailing address
54 NORTH ST, WILLIMANTIC, CT 06226-2528
(860) 450-7122
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
001601
CT
1041C0700X
Clinical Social Worker
Primary
006423
CT
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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