Individual
KEITH HATCH PARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
1209 E NORTHSHORE DR UNIT 139, TEMPE, AZ 85283-1466
(801) 898-1335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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