Individual
MRS. ALYSSA E KEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
111 NORTH CAROLINA STREET, LYNN, MA 01902
(781) 598-5517
(781) 581-6614
Mailing address
40 R PROSPECT STREET, MARBLEHEAD, MA 01945
(781) 990-3221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114126
MA
1041C0700X
Clinical Social Worker
212505
MA
Other
Enumeration date
07/23/2006
Last updated
08/10/2007
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