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1013049139
KEVIN KEANE
SOUTHBURY, CT
NPI
1013049139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 001458)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
Mr. KEVIN KEANE LPC, NCC
150 BRIDLE PATH RD
SOUTHBURY, CT 06488-2437
Phone number: 203-264-3096
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Mailing Address
Mr. KEVIN KEANE LPC, NCC
150 BRIDLE PATH RD
SOUTHBURY, CT 06488-2437
Phone number: 203-264-3096
Copy
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