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Individual

LISA EDWARDS KEANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, RPT, NBCC

Contact information

Practice address
4 OFFICE PARK CIR STE 313, MOUNTAIN BRK, AL 35223-2695
(205) 291-8169
Mailing address
2420 WOODMERE DR, VESTAVIA, AL 35226-3531

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2689
AL

Other

Enumeration date
04/23/2009
Last updated
02/15/2022
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