Individual
MR. DAVID BRIAN GREENWOOD
Active
Individual
MR. DAVID BRIAN GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01069
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128731
VALUE OPTIONS PROVIDER #
IA
01
—
238645
MIDLANDS CHOICE PROVID #
IA
01
—
48248
WELLMARK BCBS PROVIDER NU
IA
Enumeration date
09/11/2006
Last updated
07/08/2007
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