Individual
KIM ELAINE MCKEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
469 BUCKLAND RD STE 104, SOUTH WINDSOR, CT 06074-3737
(860) 985-2151
Mailing address
307 CEDAR SWAMP RD, COVENTRY, CT 06238-1068
(860) 985-2151
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003015
CT
Other
Enumeration date
06/03/2016
Last updated
02/22/2022
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