Individual
DR. KELLY ANN GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8801 STEILACOOM BLVD SW, LAKEWOOD, WA 98498-4770
(253) 756-2752
Mailing address
8805 STEILACOOM BLVD SW, LAKEWOOD, WA 98498-4770
(253) 756-2752
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY61107819
WA
Other
Enumeration date
07/09/2018
Last updated
09/01/2023
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