Individual
GLENN ALAN KEELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 TACOMA AVE S STE 305, TACOMA, WA 98402-1903
(253) 396-5800
Mailing address
4015 E I ST, TACOMA, WA 98404-2931
(253) 617-5008
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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