Provider Demographics
NPI:1265636344
Name:KEE, EMILY TARA ANN (LMSW)
Entity type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:TARA ANN
Last Name:KEE
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 1:10600 SATELLITE ST NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-3979
Mailing Address - Country:US
Mailing Address - Phone:505-264-2476
Mailing Address - Fax:505-247-1373
Practice Address - Street 1:2301 YALE SE
Practice Address - Street 2:SUITE C6
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106
Practice Address - Country:US
Practice Address - Phone:505-247-4622
Practice Address - Fax:505-247-1373
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM4499104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker