Individual
COLTON J RALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 98503-1070
(360) 763-5796
Mailing address
612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 98503-1070
(360) 763-5796
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LW61530622
WA
Other
Enumeration date
07/12/2021
Last updated
07/15/2024
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