Organization
JENNIFER KEENA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KEENA (THERAPIST)
(320) 333-1120
Entity
Organization
Contact information
Practice address
948 PROCTOR AVE NW, ELK RIVER, MN 55330-2417
(763) 241-3451
Mailing address
1045 16TH AVE S, SAINT CLOUD, MN 56301-5235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18617
MN
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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