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Individual

KELSEY RAE GRAVELLE

Active
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Individual

KELSEY RAE GRAVELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SUDP LICSW

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60714593
WA
1041C0700X
Clinical Social Worker
Primary
LW61677731
WA

Other

Enumeration date
02/23/2017
Last updated
05/08/2025
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