Individual
CASEY MARIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
407 TRIMBLE RD, JOPPA, MD 21085-4099
(410) 612-1546
Mailing address
407 TRIMBLE RD, JOPPA, MD 21085-4099
(410) 612-1546
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
14823
MD
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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