Fred Keane Lcsw, Pllc

NPI #1730796293 in Carmel, New York

Provider Information

NPI Number: 1730796293
Entity Type: Organization
Organization Name: Fred Keane Lcsw, Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 29, 2020
Last Updated: Sep 29, 2020

Practice Location

Address: 6 HEMLOCK TRAIL CT
City: Carmel
State: New York
ZIP Code: 10512-5764
Phone: (914) 714-3178

Authorized Official

Name: MS. ILENE KASWER
Title: CREDENTIALING SPECIALIST
Phone: (845) 849-1958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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