Individual
MR. JILLIAN KEYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
208 VALLEY RD, NEW CANAAN, CT 06840-3812
(203) 801-2255
Mailing address
328 CONVENT AVE, 3, NEW YORK, NY 10031-6358
(646) 831-5069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009656
CT
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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