Individual
KELLY TONGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
515 3RD AVE, SEATTLE, WA 98104-2304
(206) 464-1570
Mailing address
515 3RD AVE, SEATTLE, WA 98104-2304
(206) 464-1570
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SC60778321
WA
1041C0700X
Clinical Social Worker
Primary
LW61006272
WA
Other
Enumeration date
09/24/2018
Last updated
12/13/2021
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