GLEN E KELLEY

TACOMA, WA
NPI1205063187
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-06-17
Last Update Date2009-06-17
Business Address
-- GLEN E KELLEY
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number: 253-403-1000
Mailing Address
-- GLEN E KELLEY
PO BOX 5299
TACOMA, WA 98415-0299
Phone number:
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