Individual
CARRIE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
122 W RIVER ST, WILKES BARRE, PA 18702-2354
(570) 762-4645
Mailing address
122 W RIVER ST, WILKES BARRE, PA 18702-2354
(570) 762-4645
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW133376
PA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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