Provider Demographics
NPI:1588738041
Name:DUWORS, GEORGE MANTER (MSW,LCSW,BCD)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:MANTER
Last Name:DUWORS
Suffix:
Gender:M
Credentials:MSW,LCSW,BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6318 151ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-5006
Mailing Address - Country:US
Mailing Address - Phone:425-378-3762
Mailing Address - Fax:427-671-0672
Practice Address - Street 1:1712 PACIFIC AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4055
Practice Address - Country:US
Practice Address - Phone:425-339-4119
Practice Address - Fax:425-671-0672
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000062751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical