Individual
KELLEY LORRAINE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
19116 33RD AVE W, LYNNWOOD, WA 98036-4706
(425) 712-7900
Mailing address
1100 9TH AVE, M4-PFS, SEATTLE, WA 98101-7026
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60619498
WA
Other
Enumeration date
07/16/2021
Last updated
08/20/2021
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