Individual
KELLY ANGUIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11627 10TH AVE W, EVERETT, WA 98204-5934
(425) 789-6404
Mailing address
11627 10TH AVE W, EVERETT, WA 98204-5934
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
113573
NY
1041C0700X
Clinical Social Worker
Primary
SWI.LW.61540207
WA
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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