Individual
KESHYA M WYSOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E CLAY AVE STE 201, CHEWELAH, WA 99109-8936
(509) 935-4808
(509) 935-4897
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5286
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LW61665830
WA
Other
Enumeration date
07/10/2019
Last updated
06/25/2025
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