Individual
MR. KEITH ALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
483 W. SEED FARM RD, SACATON, AZ 85247
(602) 528-1340
(602) 528-1296
Mailing address
PO BOX 115, SACATON, AZ 85247-0115
(602) 528-1340
(602) 518-1296
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2970
AZ
Other
Enumeration date
01/20/2006
Last updated
07/08/2007
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