Individual
KELLY MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
33442 1ST WAY S STE 104, FEDERAL WAY, WA 98003-6210
(253) 691-8694
Mailing address
33442 1ST WAY S STE 104, FEDERAL WAY, WA 98003-6210
(253) 691-8694
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61336082
WA
Other
Enumeration date
12/06/2024
Last updated
09/30/2025
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