Male or Other

Edward J. Keohan LICSW

Clinical Social Worker in Lawrence, MA(View on Map)

Full Name

Edward J Keohan LICSW

NPI Number

1447365374

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/20/2006

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

1023442

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 370064
599 CANAL ST

City

Boston
Lawrence

State

MA
MA

Postal Code

02241-0764
01840-1244

Country

US
US

Telephone Number

N/A
(781) 871-6550

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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