Individual
AMIRTHINI THERESA KEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
649 DAYTON AVE, SAINT PAUL, MN 55104-6631
(612) 436-4834
(612) 436-2604
Mailing address
649 DAYTON AVE, SAINT PAUL, MN 55104-6631
(612) 436-4834
(612) 436-2604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18401
MN
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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