Individual
MICHELLE JO GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
215 6TH AVE S, CLINTON, IA 52732-4338
(563) 221-2183
Mailing address
10518 GETZ RD, MOUNT CARROLL, IL 61053-9060
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150118378
IL
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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