Individual
MS. JUDY G GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6081 S QUEBEC ST STE 200, CENTENNIAL, CO 80111-4538
(303) 721-7330
Mailing address
11480 NIGHT HERON DR, PARKER, CO 80134-4338
(303) 805-9688
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
176
CO
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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