Individual
ELLEN HOA NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
21208 48TH AVE W APT B, MOUNTLAKE TERRACE, WA 98043-6403
(206) 779-8819
Mailing address
21208 48TH AVE W APT B, MOUNTLAKE TERRACE, WA 98043-6403
(206) 779-8819
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SSWIA.SC.60349627
WA
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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