Individual
MRS. JENNIFER L KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
33 SEA MEADOW DR, LITTLE EGG HARBOR TWP, NJ 08087-9726
(609) 404-6505
Mailing address
33 SEA MEADOW DR, LITTLE EGG HARBOR TWP, NJ 08087-9726
(609) 404-6505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904011761
VA
1041C0700X
Clinical Social Worker
Primary
44SC05749700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450360685
LLC
NJ
Enumeration date
03/02/2023
Last updated
03/02/2023
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