KELLEY NELSON WHITTY-SANDAKER

TACOMA, WA
NPI1588080063
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60367121)
Enumeration Date2014-03-08
Last Update Date2018-01-04
Business Address
KELLEY NELSON WHITTY-SANDAKER CDP
504 112TH ST S
TACOMA, WA 98444-5720
Phone number: 253-536-5549
Mailing Address
KELLEY NELSON WHITTY-SANDAKER CDP
1119 TACOMA AVE S
TACOMA, WA 98402-2005
Phone number: 253-246-6820
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