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1104377233
ROSE KELLY
VANCOUVER, WA
NPI
1104377233
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Former Name
CHEYENNE ROSE LARKIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA 60811714)
Enumeration Date
2016-10-24
Last Update Date
2023-12-08
Business Address
ROSE KELLY LICSW
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661-3717
Phone number: 360-558-5795
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Mailing Address
ROSE KELLY LICSW
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number:
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