NPI 1265900070

Keeley Danielle Kooken, LCSW

Practitioner Clinical Social Worker Monroe, GA

Practice location

Address: 511 Cedar Ridge Rd, Monroe, GA 30656-4617
Phone: (404) 663-5758

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence CSW007802 (GA)

Other Social Worker providers in Georgia →

Registry record

NPI: 1265900070
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Nov 2018
Record last updated: 22 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.