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Organization
KELLIE ELEAZER
Active
Organization
KELLIE ELEAZER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE ELEAZER (OWNER)
(360) 524-2702
Entity
Organization
Contact information
Practice address
1420 S MERIDIAN STE C, PUYALLUP, WA 98371-6914
(360) 524-2702
Mailing address
1420 S MERIDIAN STE C, PUYALLUP, WA 98371-6914
(360) 524-2702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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