Individual
MR. KEITH A OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
896 ASYLUM AVE, HARTFORD, CT 06105-1901
(860) 522-8241
(860) 527-1919
Mailing address
18 SCHULTZ PL, KENSINGTON, CT 06037-2122
(860) 828-5190
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002646
CT
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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