Individual
IMANI GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 S GUARDSMAN WAY, SALT LAKE CITY, UT 84108-1374
(801) 581-0194
Mailing address
3737 W 4100 S, WEST VALLEY CITY, UT 84120-5543
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13405428-3502
UT
Other
Enumeration date
09/18/2023
Last updated
11/19/2025
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