Organization
GROUP HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIKA ANN RICHARD-WEBBER LICSW (INNOVATION SOCIAL WORKER)
(503) 803-0899
Entity
Organization
Contact information
Practice address
9800 4TH AVE NE, SEATTLE, WA 98115-2152
(206) 302-1200
Mailing address
20210 84TH PL W, EDMONDS, WA 98026-6604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60463246
WA
Other
Enumeration date
10/26/2016
Last updated
06/23/2021
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