Individual
MS. STAELA M KEEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
777 BLOOMFIELD AVE, CLIFTON, NJ 07012-1242
(973) 594-0125
(973) 594-0536
Mailing address
29 OAK ST, NUTLEY, NJ 07110-1351
(973) 284-1971
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL01162300
NJ
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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