Individual
MONIQUE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 PINE ST, SEATTLE, WA 98101-1944
(206) 323-1768
Mailing address
1216 PINE ST, SEATTLE, WA 98101-1944
(206) 323-1768
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251B00000X
WA
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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