Individual
MS. KELLEY SUE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
20174 FRONT ST, FRONT STREET CLINIC, POULSBO, WA 98370
(360) 697-1141
(360) 697-2395
Mailing address
PO BOX 1611, POULSBO, WA 98370
(360) 697-1141
(360) 697-2395
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW00006376
WA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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