Individual
AMANDA KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3046 127TH ST, BLUE ISLAND, IL 60406-1827
(708) 377-7920
(708) 930-0414
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.020765
IL
Other
Enumeration date
10/20/2021
Last updated
06/10/2025
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