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Organization

ANDREW M. KEOGH LICENSED CLINCIAL SOCIAL WORKER P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW KEOGH LCSW (PRESIDENT)
(716) 868-8654
Entity
Organization

Contact information

Practice address
21 LINWOOD AVE, WILLIAMSVILLE, NY 14221-6501
(716) 243-8147
(716) 626-4271
Mailing address
673 MOORE AVE, BUFFALO, NY 14223-1803
(716) 868-8654

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
074180
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447444211
NY
Enumeration date
06/09/2018
Last updated
06/09/2018
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