Individual
ILYSA KEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
219 TAYLORS MILLS RD, MANALAPAN, NJ 07726-3255
(908) 415-2042
Mailing address
12 RIMWOOD DR, LINCROFT, NJ 07738-1832
(732) 822-0271
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
06/11/2019
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