Individual
SUZANNE DARLENE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
810 MOUNTAIN VIEW RD, RAPID CITY, SD 57702-2520
(605) 791-4665
(605) 791-4666
Mailing address
PO BOX 3022, CUSTER, SD 57730
(207) 649-4047
(605) 673-3902
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
3178
SD
1041C0700X
Clinical Social Worker
Primary
LC7959
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013927664
—
SD
Enumeration date
08/08/2006
Last updated
07/21/2022
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