Individual
EDWARD J KEOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
599 CANAL ST, SUITE 1 EAST, LAWRENCE, MA 01840-1244
(781) 871-6550
Mailing address
PO BOX 370064, BOSTON, MA 02241-0764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1023442
MA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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