Provider Demographics
NPI:1821701582
Name:KEESEE, BARBARA A (LMSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:KEESEE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 S DOBSON RD STE 203
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-5665
Mailing Address - Country:US
Mailing Address - Phone:480-687-0680
Mailing Address - Fax:
Practice Address - Street 1:1819 S DOBSON RD STE 203
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-5665
Practice Address - Country:US
Practice Address - Phone:480-687-0680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker