Tristan Glenn Keller, LISW
NPI #1053346171 in Gallup, New Mexico
Provider Information
- NPI Number
- 1053346171
- Entity Type
- Individual
- Name
- Tristan Glenn Keller, LISW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LISW
- Enumeration Date
- Jul 11, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 2025 E AZTEC AVE
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-4803
- Phone
- (505) 863-3828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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