Individual
MICHELLE L. KEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3158 E SIERRA MADRE AVE, GILBERT, AZ 85296-9455
(602) 663-1242
Mailing address
3158 E SIERRA MADRE AVE, GILBERT, AZ 85296-9455
(520) 663-1242
(602) 455-4624
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
1558
AZ
Other
Enumeration date
10/17/2008
Last updated
03/11/2020
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