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Individual

COLLEEN G KEEGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11 BAXTER BLVD FL 2, PORTLAND, ME 04101-1801
(603) 883-0005
Mailing address
638 CONGRESS ST APT 511, PORTLAND, ME 04101-8343
(207) 274-9270

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC8202
ME

Other

Enumeration date
10/12/2022
Last updated
08/26/2024
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