Individual
DAVID GREIFFENBERG WOLDTVEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW, SUDP
Contact information
Practice address
123 2ND AVE S, EDMONDS, WA 98020-8457
(425) 341-3448
Mailing address
PO BOX 1895, EVERETT, WA 98206-1895
(206) 853-7364
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60744007
WA
1041C0700X
Clinical Social Worker
Primary
LW61538134
WA
Other
Enumeration date
07/08/2019
Last updated
12/06/2024
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