Individual
ANDREA KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2239 MARTIN AVE E, PORT ORCHARD, WA 98366-8215
(360) 401-8516
Mailing address
2239 MARTIN AVE E, PORT ORCHARD, WA 98366-8215
(360) 401-8516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61131967
WA
Other
Enumeration date
03/19/2018
Last updated
07/11/2023
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