Kelso, Laurel C

Kelso, Laurel C is an individual health care provider with primary practice located at 7191 Wagner Way Suite 301, Gig Harbor WA 98335-0115. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelso, Laurel C can be contacted via phone (253) 514-8076.

Contact Information

Primary practice address
7191 Wagner Way Suite 301 Gig Harbor WA 98335-0115
Fax: (253) 514-8078
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00007524 Washington

Profile Details

NPI number 1245478064
LBN Legal business name Kelso, Laurel C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2009
Last updated Feb 20th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245478064 NPPES
Washington Other LW00007524 PROFESSIONAL LICENSE

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