Individual
KEITH MCENTIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4303 W VISTA AVE, GLENDALE, AZ 85301-1669
(602) 465-9254
Mailing address
4303 W VISTA AVE, GLENDALE, AZ 85301-1669
(602) 465-9254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-08393T
AZ
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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