Individual
KRYSTAL VONGNATENSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12180 PARK AVE S, TACOMA, WA 98447-0014
(253) 535-7411
Mailing address
12180 PARK AVE S, TACOMA, WA 98447-0014
(253) 535-7411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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