Individual
ANGEL FAITH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6021 244TH ST SW STE 400, MOUNTLAKE TERRACE, WA 98043-5426
(425) 245-9940
Mailing address
18318 3RD AVE NE # NA, SHORELINE, WA 98155-3542
(425) 309-9358
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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