| Simon Connor | |
|
2800 E Madison St Ste 204 Seattle WA 98112-4865 | |
| (206) 550-6492 | |
| Not Available |
| Full Name | Simon Connor |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2800 E Madison St Ste 204, Seattle, Washington |
| Authorized Official Name and Position | Simon Connor (OWNER) |
| Authorized Official Contact | 2065506492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simon Connor 1208 24th Ave E Seattle WA 98112-3626 Ph: (206) 550-6492 | Simon Connor 2800 E Madison St Ste 204 Seattle WA 98112-4865 Ph: (206) 550-6492 |
| NPI Number | 1992102966 |
|---|---|
| Provider Enumeration Date | 11/19/2014 |
| Last Update Date | 11/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992102966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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