Individual
CATHERINE M KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 16TH ST, SAN MIGUEL, CA 93451
(805) 710-9849
Mailing address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 885-4836
(575) 628-0676
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36259
CA
Other
Enumeration date
04/10/2012
Last updated
06/11/2018
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