Individual
KELLI UNZICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-6131
Mailing address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-6131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6757
OR
1041C0700X
Clinical Social Worker
LW60594272
WA
Other
Enumeration date
04/20/2016
Last updated
12/21/2021
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