KELLEY NELSON WHITTY SANDAKER

SEATTLE, WA
NPI1588080063
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60367121)
Enumeration Date2014-03-08
Last Update Date2025-07-14
Business Address
KELLEY NELSON WHITTY SANDAKER SUDP
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144-6847
Phone number: 206-774-2461
Mailing Address
KELLEY NELSON WHITTY SANDAKER SUDP
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144-6847
Phone number: 206-774-2461
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