Individual
KELLY T BLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 CASCADE PL STE 104, BURLINGTON, WA 98233-3126
(206) 724-8207
Mailing address
160 CASCADE PL STE 104, BURLINGTON, WA 98233-3126
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61309188
WA
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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