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Individual

DR. KELLY KRISTON BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4004 CHESTNUT DR W, UNIVERSITY PLACE, WA 98466-1522
(253) 503-6226
Mailing address
4004 CHESTNUT DR W, UNIVERSITY PLACE, WA 98466-1522
(253) 503-6226

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY60236263
WA
103TC0700X
Clinical Psychologist
PY60236263
WA
103TC1900X
Counseling Psychologist
Primary
PY60236263
WA

Other

Enumeration date
01/07/2018
Last updated
01/07/2018
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