Individual
MS. KELLY GILL BETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
9600 VETERANS DR SW, A-116-MHC, TACOMA, WA 98493-0003
(253) 583-2727
Mailing address
3516 RUST ST, GIG HARBOR, WA 98332-2178
(253) 583-2727
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1880C
AL
1041C0700X
Clinical Social Worker
Primary
LW60445728
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273814
COMPSYCH
AL
Enumeration date
01/02/2007
Last updated
05/02/2020
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