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Organization
KELSEY SCAMPOLI
Active
Organization
KELSEY SCAMPOLI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY SCAMPOLI (OWNER)
(360) 386-5611
Entity
Organization
Contact information
Practice address
5019 GROVE ST STE 103A, MARYSVILLE, WA 98270-4487
(360) 386-5611
Mailing address
5019 GROVE ST STE 102, MARYSVILLE, WA 98270-4491
(360) 386-5611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60435605
WA
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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