# MR. JULIAN GREEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114300647
- **Gender:** Man
- **Credential:** LCSW, LISW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 10254 | SC | Yes |
| 1041C0700X | Clinical Social Worker | Q1-0001639 | DE | — |

## Other

- **Enumeration date:** 07/01/2015
- **Last updated:** 12/02/2018