Individual
KELLY TOROK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC, MT
Contact information
Practice address
900 JEFFERSON ST, OLYMPIA, WA 98507
(808) 651-6110
Mailing address
PO BOX 257 PMB 6366, OLYMPIA, WA 98507
(808) 651-6110
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
146N00000X
Basic Emergency Medical Technician
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
ALPP#24181
HI
225700000X
Massage Therapist
—
—
374J00000X
Doula
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/02/2010
Last updated
05/28/2014
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