Individual
REBECCA KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
485 HUNTINGTON RD STE 197, ATHENS, GA 30606-1845
(706) 418-1201
Mailing address
485 HUNTINGTON RD STE 197, ATHENS, GA 30606-1845
(706) 418-1201
(706) 549-0428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004543
GA
Other
Enumeration date
10/24/2011
Last updated
09/16/2019
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