Individual
ELIZABETH J GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
527 S HIGH ST, COLUMBUS, OH 43215
(614) 557-9177
Mailing address
527 S HIGH ST, COLUMBUS, OH 43215-5602
(614) 557-9177
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1904512
OH
1041S0200X
School Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/14/2018
Last updated
10/31/2019
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