Individual
KELLY LYNN ROLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, V3NSCU, VANCOUVER, WA 98661-3753
(360) 696-4061
(360) 759-1697
Mailing address
2626 NE 16TH AVE, APARTMENT 3, PORTLAND, OR 97212-4232
(503) 220-8262
(360) 759-1697
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
N/A
—
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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