Individual
KEITH JOHN MCNEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5900 100TH ST SW STE 17B, LAKEWOOD, WA 98499-2749
(253) 431-9739
Mailing address
9815 79TH ST SW, LAKEWOOD, WA 98498-3207
(253) 777-5709
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
60773522
WA
1041C0700X
Clinical Social Worker
60773522
WA
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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