Individual
MR. JULIAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10254
SC
1041C0700X
Clinical Social Worker
Q1-0001639
DE
Other
Enumeration date
07/01/2015
Last updated
12/02/2018
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