Individual
KELLY ANNE BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, MPH
Contact information
Practice address
37624 SE FURY ST STE 101, SNOQUALMIE, WA 98065-9680
(425) 888-2016
(206) 320-5170
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW60706472
WA
1041C0700X
Clinical Social Worker
L6918
OR
1041C0700X
Clinical Social Worker
Primary
LW60706472
WA
Other
Enumeration date
10/06/2016
Last updated
03/21/2018
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