Individual
MRS. KELLI VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 COOPER POINT RD SW STE 21, OLYMPIA, WA 98502-1179
(360) 810-1547
Mailing address
PO BOX 6286, OLYMPIA, WA 98507-6286
(360) 810-1547
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
VANCEKS247NZ
WA
Other
Enumeration date
08/03/2013
Last updated
04/03/2018
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