Individual
MR. JAY KIMBALL KEELER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4460 HIGHLAND DR, SUITE #100, SALT LAKE CITY, UT 84124-3543
(801) 273-1085
(801) 273-4097
Mailing address
4460 HIGHLAND DR, SUITE #100, SALT LAKE CITY, UT 84124-3543
(801) 273-1085
(801) 273-4097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1062923501
UT
Other
Enumeration date
01/23/2006
Last updated
07/09/2007
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