Individual
CHRISTINA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW CSW-PIP QMHP
Contact information
Practice address
124 SAVOY CIR, RAPID CITY, SD 57701-5110
(605) 381-2920
Mailing address
124 SAVOY CIR, RAPID CITY, SD 57701-5110
(053) 812-9206
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6462
SD
Other
Enumeration date
09/06/2022
Last updated
03/19/2024
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