Individual
KEELYN TONYA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4 N SAN FRANCISCO ST, SUITE D, FLAGSTAFF, AZ 86001-5230
(928) 699-8027
Mailing address
282 TOHO TRL, FLAGSTAFF, AZ 86001-9502
(928) 699-8027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW-27291
AZ
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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