Organization
SOCIAL SUCCESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANA LEE KELLY M.S., CCC-SLP (SLP, PART OWNER)
(206) 371-9133
Entity
Organization
Contact information
Practice address
2366 EASTLAKE AVE E STE 335, SEATTLE, WA 98102-3399
(206) 371-9133
Mailing address
2366 EASTLAKE AVE E STE 335, SEATTLE, WA 98102-3399
(206) 371-9133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003194
WA
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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