Individual
KELLIE JANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
10512 IRENE AVE SW, LAKEWOOD, WA 98499-4739
(253) 883-7004
Mailing address
5401 S TACOMA WAY OFC 5, TACOMA, WA 98409-4312
(253) 883-7004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61551328
WA
Other
Enumeration date
03/25/2024
Last updated
09/29/2025
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