Kelly Catherine Keane

NPI #1386076065 in Wilmette, Illinois

Provider Information

NPI Number: 1386076065
Entity Type: Individual
Name: Kelly Catherine Keane
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Aug 5, 2013
Last Updated: Aug 5, 2013

Practice Location

Address: 825 GREEN BAY RD
Address 2: SUITE 200
City: Wilmette
State: Illinois
ZIP Code: 60091-2597
Phone: (847) 251-6630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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