Individual
JENNIFER ANNE KEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18789 N REEMS RD STE 260, SURPRISE, AZ 85374-8648
(623) 377-8397
Mailing address
15411 W WADDELL RD STE 102, PMB#1193, SURPRISE, AZ 85379-5170
(623) 377-8397
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-22513
AZ
251S00000X
Community/Behavioral Health Agency
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417775446
NPI2
AZ
Enumeration date
07/19/2007
Last updated
11/13/2024
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