Individual
KELLY CORYELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LABA
Contact information
Practice address
PO BOX 311, MONROE, WA 98272-0311
(425) 829-5355
Mailing address
632 182ND ST SE, BOTHELL, WA 98012-6275
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
61523786
WA
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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