Organization
BESSIE GREEN LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH GREEN LCSW (CLINICIAN, SOLE MEMBER OF LLC)
(907) 251-5775
Entity
Organization
Contact information
Practice address
250 CUSHMAN ST STE 2G, FAIRBANKS, AK 99701-4665
(907) 251-5775
Mailing address
250 CUSHMAN ST STE 2G, FAIRBANKS, AK 99701-4665
(907) 251-5775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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