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Individual

CHARITY GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
PO BOX 543, MABSCOTT, WV 25871-0543
(304) 731-5263

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00944003
WV

Other

Enumeration date
12/16/2014
Last updated
12/16/2014
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