Individual
SEAN KEIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 634-7005
Mailing address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 634-7005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4632
CT
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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