Individual
KEILANI LI GRACE MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 E OLIVE ST, SEATTLE, WA 98122-2735
(206) 901-2000
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
SWIA.SC.70002714
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/18/2023
Last updated
08/13/2025
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