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1104382969
THERESA A KEANE
SMITHTOWN, NY
NPI
1104382969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY RO52037-1)
Enumeration Date
2019-02-18
Last Update Date
2019-02-18
Business Address
THERESA A KEANE LCSW-R
285 MIDDLE COUNTRY RD # LL5
SMITHTOWN, NY 11787-2978
Phone number: 631-724-0600
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Mailing Address
THERESA A KEANE LCSW-R
285 MIDDLE COUNTRY RD # LL5
SMITHTOWN, NY 11787-2978
Phone number: 631-724-0600
Copy
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