Most Relevant Information
Provider Data
| NPI Number: | 1003470576 |
| Provider Name: | KEAGAN PAINE WELLS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/30/2019 |
| Last Updated: | 04/30/2019 |
Provider Practice Location
1 ARCH PL
GREENFIELD
MA
013012457
Practice Location Phone/Fax
| Phone: | 4137741000 |
| Fax: | 4137741776 |
Provider Mailing Location
1 ARCH PL
GREENFIELD
MA
013012457
Provider Mailing Phone/Fax
| Phone: | 4137741000 |
| Fax: | 4137741776 |