Organization
ILA A. KEINER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ILA ANN KEINER LCSW (SOLE PROPRIETOR)
(609) 748-1820
Entity
Organization
Contact information
Practice address
ROUTE 9 AND CENTRAL AVE, CENTRAL SQUARE UNIT 61A, LINWOOD, NJ 08221
(609) 748-1820
(609) 404-3116
Mailing address
833 E MOSS MILL RD, GALLOWAY, NJ 08205-4218
(609) 748-1820
(609) 404-3116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC46073
NJ
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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