Individual
CARLA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
56 LAKELAND DR, CABOT, AR 72023-7827
(305) 975-2621
Mailing address
56 LAKELAND DR, CABOT, AR 72023-7827
(305) 975-2621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12453-C
AR
1041C0700X
Clinical Social Worker
Primary
SW13259
FL
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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