Organization
BARBARA KEEZELL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA KEEZELL LICSW (PRESIDENT)
(617) 730-9400
Entity
Organization
Contact information
Practice address
1415 BEACON ST, ROOM 302, BROOKLINE, MA 02446-4816
(617) 730-9400
Mailing address
1415 BEACON ST, ROOM 302, BROOKLINE, MA 02446-4816
(617) 730-9400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105296
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO3843
BLUE CROSSBLUE SHIELD
MA
Enumeration date
01/25/2007
Last updated
08/22/2020
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