Individual
MAXIMANOVA O'REILLY GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AACR
Contact information
Practice address
10700 MERIDIAN AVE N STE G11, SEATTLE, WA 98133-9008
(206) 461-4544
(206) 461-6939
Mailing address
10700 MERIDIAN AVE N STE G11, SEATTLE, WA 98133-9008
(206) 361-3020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CG60707090
WA
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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