Individual
PENNY YVETTE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
5225 YORK RD, BALTIMORE, MD 21212
(410) 467-6040
(410) 235-8807
Mailing address
2204 MARYLAND AVENUE, BALTIMORE, MD 21218
(410) 467-6040
(410) 235-8807
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G11093
MD
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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