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Individual

MRS. BRENDA L KITTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, ACSW, MAC

Contact information

Practice address
3808 LANYARD DR NE, LACEY, WA 98516-1333
(253) 226-2225
Mailing address
3808 LANYARD DR NE, LACEY, WA 98516-1333
(253) 226-2225

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24843
IN
1041C0700X
Clinical Social Worker
Primary
6801081080
MI

Other

Enumeration date
03/09/2006
Last updated
10/18/2012
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