Individual
MS. MICHELLE ELLEN KEYWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
15 PROSPECT ST, NASHUA, NH 03060
(603) 889-6147
(603) 594-9649
Mailing address
7 PROSPECT ST, NASHUA, NH 03060
(603) 889-6147
(603) 594-9649
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/01/2009
Last updated
12/27/2012
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