Search › Connecticut › 1041C0700X
John Keane, LMSW,BA
NPI 1679900765 · on the registry since 2013
Practice
- Address
- 402 E Main St
Waterbury Op Adult Services
Waterbury, CT 06702 - Phone
- (203) 755-1143
- Fax
- (203) 755-1447
- Organisation at this address
- Wellmore, Inc
Staywell Health Care IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 167
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
104100000X - Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut