Kellie Lassiter

NPI #1396361895 in Clarkston, Washington

Provider Information

NPI Number: 1396361895
Entity Type: Individual
Name: Kellie Lassiter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jun 19, 2020
Last Updated: Jun 19, 2020

Practice Location

Address: 900 7TH ST
City: Clarkston
State: Washington
ZIP Code: 99403-2005
Phone: (508) 758-3341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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