Individual
MR. BRENDAN T KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW INTERN
Contact information
Practice address
81 PLANTATION ST, WORCESTER, MA 01604-3023
(508) 849-5600
Mailing address
54 MARBLE RD, SUTTON, MA 01590-2522
(508) 865-0405
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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