Individual
KELLI TOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E MAIN STE H, PUYALLUP, WA 98372-5613
(253) 848-3891
Mailing address
510 E MAIN STE H, PUYALLUP, WA 98372-5613
(253) 848-3891
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
61253045
WA
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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