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Organization

DENA MCKEOWN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS DENA K MCKEOWN ED.S., M.S. (PSYCHO-EDUCATIONAL SPECIALIST)
(803) 254-9767
Entity
Organization

Contact information

Practice address
1903 GADSDEN ST STE 204, COLUMBIA, SC 29201-2352
(803) 254-9767
(803) 254-9740
Mailing address
1903 GADSDEN ST STE 204, COLUMBIA, SC 29201-2352
(803) 254-9767
(803) 254-9740

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
4563
SC

Other

Enumeration date
07/11/2007
Last updated
07/11/2007
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