Individual
KELLY KALALAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3516 S 47TH ST STE 203, TACOMA, WA 98409-4475
(253) 572-7888
(253) 572-7727
Mailing address
3516 S 47TH ST STE 203, TACOMA, WA 98409-4475
(253) 572-7888
(253) 572-7727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60893806
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60893806
LICSW-A
WA
Enumeration date
07/24/2020
Last updated
07/24/2020
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