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Individual
MS. TALIA GREEN
Active
Individual
MS. TALIA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
091242
NY
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091242
LICENSE
NY
Enumeration date
09/16/2011
Last updated
12/31/2021
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