Individual
KELLY THOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 NE 45TH ST STE 502, SEATTLE, WA 98105-4631
(206) 785-1953
Mailing address
1107 NE 45TH ST STE 502, SEATTLE, WA 98105-4631
(206) 785-1953
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61468337
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
02/14/2026
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