| NPI | 1770296048 |
|---|---|
| Doing Business As | LESLIE KEENE, LCSW |
| Entity Type | Organization |
| Authorized Contact | LESLIE KEENE Owner 928-486-5472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-04 |