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Individual

MS. KATHLEEN ROMAN GREEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
485 MANSFIELD AVE, PITTSBURGH, PA 15205-4350
(412) 922-1566
(412) 922-3516
Mailing address
105 PURITAN RD, CARNEGIE, PA 15106-1025
(412) 276-7139
(412) 276-3101

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013826
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
072377
MAGELLAN
01
211357
VALUE OPTIONS
01
334772
MENTAL HEALTH NETWORK
01
7202328
AETNA
Enumeration date
04/04/2006
Last updated
07/08/2007
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