Elizabeth Coburn Keller MS, LICSW

NPI 1083704423 - Social Worker - 1041C0700X

NPI Details
NPI 1083704423
Gender Female
Enumeration Date 10/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
25 MAIN ST
SUITE #218
NORTHAMPTON MA, 01060-3109, US
Phone (413) 210-8318
Fax
Business Location
14 DUDLEYVILLE RD
LEVERETT MA, 01054-9717, US
Phone (413) 210-8318
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 111353
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According to our database, Elizabeth Coburn Keller MS, LICSW NPI is 1083704423, taxonomy code is 1041C0700X and license number is 111353, license state is located at Massachusetts. Elizabeth Coburn Keller MS, LICSW physically located at 25 Main St, Northampton MA, 01060-3109. NPI Number Elizabeth Coburn Keller MS, LICSW has the Individual type.

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1083704423 NPI number is provided on an as is basis without warranty of any kind. 1083704423 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Coburn Keller MS, LICSW are for informational purposes only.