Individual
HORIZON GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1200 112TH AVE NE STE B100, BELLEVUE, WA 98004-3751
(425) 462-1132
(425) 456-3668
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
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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