Individual
KATHY LYNN KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2414 BULL ST, COLUMBIA, SC 29201-1906
(803) 898-8581
Mailing address
2414 BULL ST, COLUMBIA, SC 29201-1906
(803) 898-8581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
NA
SC
Enumeration date
01/04/2021
Last updated
01/04/2021
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