Kathleen Mary Keough LICSW

NPI 1174558316 - Social Worker - 1041C0700X

NPI Details
NPI 1174558316
Gender Female
Enumeration Date 07/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
40 WRIGHT STREET
WING MEMORIAL HOSPITAL GRISWOLD CENTER
PALMER MA, 01069, US
Phone (413) 284-5285
Fax (413) 284-5384
Business Location
40 WRIGHT STREET
PALMER MA, 01069, US
Phone (413) 283-7651
Fax (413) 284-5117
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 111122
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According to our database, Ms. Kathleen Mary Keough LICSW NPI is 1174558316, taxonomy code is 1041C0700X and license number is 111122, license state is located at Massachusetts. Kathleen Mary Keough LICSW physically located at 40 Wright Street, Palmer MA, 01069. NPI Number Kathleen Mary Keough LICSW has the Individual type.

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1174558316 NPI number is provided on an as is basis without warranty of any kind. 1174558316 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Mary Keough LICSW are for informational purposes only.