Keli Marie Vasquez, AGENCY AFFILIATED CO
NPI #1043915556 in Ilwaco, Washington
Provider Information
- NPI Number
- 1043915556
- Entity Type
- Individual
- Name
- Keli Marie Vasquez, AGENCY AFFILIATED CO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- AGENCY AFFILIATED CO
- Enumeration Date
- Apr 3, 2023
- Last Updated
- Jun 4, 2024
Practice Location
- Address
- 152 1ST AVE N
- City
- Ilwaco
- State
- Washington
- ZIP Code
- 98624-9137
- Phone
- (360) 214-0474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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