Individual
HORIZON GREENE
Active
Individual
HORIZON GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60984945
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912204546
OTHER
OR
05
—
1912204546
—
OR
05
—
1912204546
—
WA
Enumeration date
02/17/2011
Last updated
02/10/2020
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