Individual
MS. DEBORAH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16401 BLACK BEAR CIR, ANCHORAGE, AK 99516-6951
(907) 229-7728
(907) 644-2858
Mailing address
16401 BLACK BEAR CIR, ANCHORAGE, AK 99516-6951
(907) 229-7728
(907) 644-2858
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M614
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM2908
—
AK
05
—
CMG290
—
AK
Enumeration date
02/09/2007
Last updated
07/09/2007
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