SearchWashington101YM0800X

Kelli Roark, LICSW, SUDP

NPI 1568722445 · on the registry since 2012

Practice

Address
4511 188th St Ne
Arlington, WA 98223
Phone
(425) 231-7589

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington