Individual
MRS. AMY LEIGH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
7110 S 13TH ST, RIDGEFIELD, WA 98642-4828
(360) 946-8936
Mailing address
7110 S 13TH ST, RIDGEFIELD, WA 98642-4828
(360) 946-8936
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
49114
CA
Other
Enumeration date
02/23/2007
Last updated
05/27/2022
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