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Individual

MR. MICHAEL KEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
615 MADISON ST # 2, LAFAYETTE, LA 70501-5865
(206) 910-5795
Mailing address
615 MADISON ST # 2, LAFAYETTE, LA 70501-5865

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13907
LA

Other

Enumeration date
09/07/2016
Last updated
09/07/2016
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