Individual
MR. KEITH LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
18424 N 51ST AVE, GLENDALE, AZ 85308-1443
(602) 467-6718
Mailing address
18424 N 51ST AVE, GLENDALE, AZ 85308-1443
(602) 467-6718
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
AZ
Other
Enumeration date
04/20/2007
Last updated
07/26/2007
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