KELLY C WAYENBERG

GRANDVIEW, WA
NPI1639897051
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  MHCA.MC.61350395)
Enumeration Date2022-08-22
Last Update Date2022-08-22
Business Address
KELLY C WAYENBERG
106 N ELM ST
GRANDVIEW, WA 98930-1009
Phone number: 509-402-9090
Mailing Address
KELLY C WAYENBERG
106 N ELM ST
GRANDVIEW, WA 98930-1009
Phone number: 509-402-9090
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