Individual
JENNY LYNN KEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3445 S MAIN ST., AKRON, OH 44319-3028
(330) 644-4095
Mailing address
3445 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-3028
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2005321
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S.2005321
—
OH
Enumeration date
09/23/2020
Last updated
09/23/2020
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