Individual
MR. CHAUNCEY EMIL GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSWA LICENSED CLINI
Contact information
Practice address
1107 W MARKET ST, GREENSBORO, NC 27403-1829
(336) 509-6248
Mailing address
5030 MILLPOINT RD, GREENSBORO, NC 27406-9005
(336) 509-6248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
#D006917
—
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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