Individual
KELLY MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 COOPER POINT RD NW, OLYMPIA, WA 98502-4460
(360) 943-0665
Mailing address
PO BOX 473, EAST OLYMPIA, WA 98540-0473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW004851
GA
1041C0700X
Clinical Social Worker
Primary
LW60351346
WA
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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