Individual
KELLY VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2017 NE 135TH PL, SEATTLE, WA 98125-3336
(630) 768-2520
Mailing address
2017 NE 135TH PL, SEATTLE, WA 98125-3336
(630) 768-2520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016408
IL
1041C0700X
Clinical Social Worker
Primary
SWI.LW.61070860
WA
Other
Enumeration date
03/19/2014
Last updated
05/13/2026
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